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TIMOTHY WAYNE MOORE
NPI 1417738394
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Active since October 09, 2023
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139(816) 404-4862(816) 404-7716 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2025, Oct 9, 2023 (2 updates tracked since 2023).

About Timothy Wayne Moore NPPES

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

TIMOTHY WAYNE MOORE (NPI 1417738394) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since October 2023. He maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1417738394
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY WAYNE MOORE
Location Address7900 LEES SUMMIT RDKansas City, MO 64139-1236
Mailing Address1223 S Indian AveTulsa, OK 74127-9122
Phone(816) 404-4862
Fax(816) 404-7716
Sole ProprietorNo
Enumeration DateOctober 9, 2023
Last NPPES UpdateMarch 30, 20252 updates tracked since enumeration
NPPES CertifiedMarch 30, 2025
✔ NPI 1417738394 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.
7900 LEES SUMMIT RD, Kansas City, MO 64139
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Secondary Practice Location 1

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (918) 561-1232

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.

DR. DYLAN GRAU DPM
Podiatrist (Foot & Ankle Surgery)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-7000
DR. COLE ARTHUR EISE DDS
Dentist (General Practice)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (417) 893-9592
DR. DANA ROSALINE MCKINNEY M.D.
Physical Medicine & Rehabilitation
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-8557
KRISTOPHER L COWAN D.O.
Student in an Organized Health Care Education/Training Program
7900 LEES SUMMIT RD, FAMILY MEDICINE RESIDENCY OFFICE
KANSAS CITY, MO 64139
Jackson County (816) 404-9030
JOSEPH ALLRED MD
Student in an Organized Health Care Education/Training Program
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-4862
QUIANA MCKNIGHT
Student in an Organized Health Care Education/Training Program
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-2543
SAMANTHA COLLINSON CNM
Advanced Practice Midwife
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-8243
DR. ROXANE S BREMEN D.O.
Psychiatry & Neurology (Neurology)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-8800

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 Timothy Moore's NPI number?

The NPI number for Timothy Moore is 1417738394. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Timothy Moore located?

Timothy Moore practices at 7900 Lees Summit Rd, Kansas City, MO 64139. The listed phone number is (816) 404-4862.

What is Timothy Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Timothy Moore was last updated on March 30, 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.