DR. RODERICK ALAN MOORE DPM
NPI 1104978238
Podiatrist - Foot & Ankle Surgery in Woodinville, WA
About Dr. Roderick Alan Moore Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RODERICK ALAN MOORE DPM (NPI 1104978238) is an individual foot & ankle surgery provider in Woodinville, Washington, licensed in Washington (PO00000305) and active in the NPI registry since January 2007.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODINVILLE, WA 98072
WOODINVILLE, WA 98072
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roderick Moore's NPI number?
The NPI number for Roderick Moore is 1104978238. It was assigned to this individual provider in the NPPES registry on January 17, 2007.
Where is Roderick Moore located?
Roderick Moore practices at 17000 140th Ave NE Unit 201, Woodinville, WA 98072. The listed phone number is (425) 481-7055.
What is Roderick Moore's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
What insurance does Roderick Moore accept?
Health plans from PacificSource Health Plans list Roderick Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Roderick Moore was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Roderick Alan Moore, DPM · NPI 1104978238
Foot & Ankle Surgery provider in Woodinville, Washington. Individual provider, active in the CMS NPPES registry since January 17, 2007.
## Identity
- **NPI:** 1104978238 (Entity type: Individual)
- **Enumerated:** January 17, 2007
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** PO00000305 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17000 140TH AVE NE, UNIT 201, Woodinville, WA 98072-6928
- **Phone:** (425) 481-7055
## Record status
- **NPPES last updated:** August 12, 2008
- **Other identifiers:** Medicare NSC 0487040001 (WA); Medicaid 1018365 (WA); Medicare UPIN T03035 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104978238) · Data from the CMS NPPES public registry.