John Michael Moore, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MDR3B83 Issued in MO

Practice address

6400 Prospect Ave
Suite 238
Kansas City, MO 64132-1100

Phone

(816) 363-4114

Fax

(816) 363-5568

NPI assigned

Aug 16, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. John M Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John M Moore MD PC

  • Specialist
  • Kansas City, MO
  • NPI 1881814564
  Authorized official Same address or phone

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942292990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 PROSPECT AVE",
            "address_2": "SUITE 238",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321100",
            "telephone_number": "816-363-4114",
            "fax_number": "816-363-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PROSPECT AVE",
            "address_2": "SUITE 238",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321100",
            "telephone_number": "816-363-4114",
            "fax_number": "816-363-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MDR3B83",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL ID",
            "identifier": "09343022",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "MOORE",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emily Moore
• Hannah Moore, OTR/L
• Heather Marie Moore, RN
• Jany N Moore, LPN
• Jillian Moore, D.O.
• John Tyson Moore, APRN, FNP-C
• Judy I Moore, PH.D.
• Julie Ann Moore, MD
• Karen Deanna Moore, NNP
• Kayla Marie Moore, RBT

• Internal Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.