Henry R Mora, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26554 Issued in AZ

Practice address

18404 N Tatum Blvd
Ste. 101
Phoenix, AZ 85032-1510

Phone

(602) 992-1900

Fax

(602) 485-7450

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Desert View Family Practice Inc

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1124033717
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1992735724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18185 N. 83RD AVE BLDG D STE. 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "853080520",
            "telephone_number": "623-583-0306",
            "fax_number": "623-583-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD",
            "address_2": "STE. 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321510",
            "telephone_number": "602-992-1900",
            "fax_number": "602-485-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "HENRY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "26554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "205046610",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Mezoh Mopecha, FNP-C
• Marben Mopera, PHARM.D.
• Barbara Lucia Mora Gonzalez, MD
• Bonnie Lynn Mora, LMSW
• Caitlyn Juanita Mora
• Leticia Mora, FNP-C
• Silvia Mora, LMSW
• William Edward Mora, MD
• Morad Med Trans LLC
• Ali Moradi

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.