Dennis Moore, M.D.

Pediatrics Physician · Grandview, WA

Individual Active NPI

NPI number 1053452250

Practice location

1003 Wallace Way
Grandview, WA 98930-8805
Phone
(509) 203-1080
Fax
(509) 203-1077

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NPI record

NPI
1053452250
Entity type
Individual (Type 1)
Enumeration date
February 9, 2007
Last updated
August 1, 2024
Certified
August 1, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X MD61499857 WA
Pediatrics Physician 208000000X 9907 NV
Pediatric Adolescent Medicine Physician 2080A0000X NV 9907 NV

About Dr. Moore

Dennis Moore, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1003 Wallace Way, Grandview, WA 98930-8805. The NPI number 1053452250 was assigned on February 9, 2007 and the record was last updated on August 1, 2024.

Dr. Moore lists 3 licenses in the registry: #MD61499857 (WA) for Pediatrics Physician; #9907 (NV) for Pediatrics Physician; #NV 9907 (NV) for Pediatric Adolescent Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dennis Moore, M.D.?

The NPI number is 1053452250.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (509) 203-1080.

Where is Dr. Moore located?

1003 Wallace Way, Grandview, WA 98930-8805.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 208000000X – Pediatrics Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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