JUSTIN TODD MOORE
NPI 1174326383
Student in an Organized Health Care Education/Training Program in North Little Rock, AR

Q: What is Justin Moore's NPI number?

The NPI number for Justin Moore is 1174326383. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Justin Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Moore was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since March 31, 2025PECOS Enrolled

3201 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR 72117(501) 202-3000 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2025, Mar 31, 2025 (2 updates tracked since 2025).

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About Justin Todd Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN TODD MOORE (NPI 1174326383) is an individual student in an organized health care education/training program in North Little Rock, Arkansas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174326383

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUSTIN TODD MOORE

Location Address3201 SPRINGHILL DR STE 100North Little Rock, AR 72117-2905

Mailing Address3201 Springhill Dr Ste 100North Little Rock, AR 72117-2905 · (816) 803-8158

Phone(501) 202-3000

Sole ProprietorYes

Enumeration DateMarch 31, 2025

Last NPPES UpdateApril 7, 20252 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1174326383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3201 SPRINGHILL DR STE 100, North Little Rock, AR 72117

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Todd Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SHAWN TANAKA DO

Student in an Organized Health Care Education/Training Program