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MICHAEL T MOORE MD
NPI 1629053707
Radiology - Diagnostic Radiology in Nevada, MO

Active since December 12, 2005
1008 N WASHINGTON ST, NEVADA, MO 64772(417) 667-3919 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael T Moore Md NPPES

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

MICHAEL T MOORE MD (NPI 1629053707) is an individual diagnostic radiology provider in Nevada, Missouri, licensed in Missouri (R7354) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1629053707
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMICHAEL T MOORECredential: MD
Location Address1008 N WASHINGTON STNevada, MO 64772-1463
Mailing Address1008 N Washington StNevada, MO 64772-1463 · (417) 667-3919
Phone(417) 667-3919
Sole ProprietorYes
Enumeration DateDecember 12, 2005
Last NPPES UpdateNovember 2, 2011
✔ NPI 1629053707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MO · R7354
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1008 N WASHINGTON ST, Nevada, MO 64772
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Other Identifiers 3

Medicaid200214005MO
Medicare UPINC52092MO
Medicare ID-Type Unspecified0003560MO

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 Michael Moore's NPI number?

The NPI number for Michael Moore is 1629053707. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Where is Michael Moore located?

Michael Moore practices at 1008 N Washington St, Nevada, MO 64772. The listed phone number is (417) 667-3919.

What is Michael Moore's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Michael Moore was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.