P Terrence Moore MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

P TERRENCE MOORE MD PA

Practice address

8722 Greenville Ave
Suite 102
Dallas, TX 75243-7167

Phone

(972) 272-6558

Fax

(972) 200-5111

NPI assigned

Dec 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul T Moore, MDNPI 1912092156

Title

Physician

Phone

(972) 272-6558

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Terrence Moore, MD

  • Specialist
  • Dallas, TX
  • NPI 1912092156

  Sleep Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Robyn Craig, RN, MS, FNP-C

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1255527156
  Medicare reassignment Care Compare group NPD
• Elzbieta Rivela, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1164070884
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1922473651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 GREENVILLE AVE",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437167",
            "telephone_number": "972-272-6558",
            "fax_number": "972-200-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8722 GREENVILLE AVE",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437167",
            "telephone_number": "972-272-6558",
            "fax_number": "972-200-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P TERRENCE MOORE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-272-6558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.