Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407940547 Individual Practitioner Female Practitioner

Dr. J. Kathleen Moore , MD

Pediatrics • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. J. Kathleen Moore, MD is a registered healthcare professional specializing in Pediatrics in Dallas, TX. Practice services are available at 809 SINGLETON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

809 Singleton Blvd

Dallas, TX 752124014

Telephone 2145400300
Fax 2145400308
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
398 Specialists

Practicing in Dallas, TX (5841 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX J0605

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MS 26000

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical Lis
J0605 (TX)

Secondary Practice Locations

1306 Doctors Drive

Tyler, TX 75701

Phone: 9035921890

1100 Belk Blvd

Oxford, MS 386555242

Phone: 6626361090

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Ngan Nguyen , FNP-C

Nurse Practitioner - Family

NPI 1083272462

Family Nurse Practitioner (Certified)

Dimitra Angeli

Pediatrics

NPI 1083977052
Adriana Torres-Pena , LMSW

Social Worker - Clinical

NPI 1124765623

Licensed Master Social Worker

Aliselle Lopez-Valcarcel , LMSW

Counselor - Mental Health

NPI 1164169637

Licensed Master Social Worker

Dr. Steven Hoffman , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1164735791

Doctor of Podiatric Medicine

Dr. Eduardo Torres , MD

Obstetrics & Gynecology

NPI 1255442653

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 19, 2023

Registered at 809 SINGLETON BLVD, DALLAS, TX 752124014 (Tel: 2145400300)

📍
Updated Business Mailing Address October 19, 2023

Registered at 809 SINGLETON BLVD, DALLAS, TX 752124014 (Tel: 2145400300)

👤
Provider Name / Credentials Updated October 19, 2023

Recorded as J. KATHLEEN MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2023

Pediatrics (License #26000 in MS)

👤
Provider Name / Credentials Updated July 18, 2018

Recorded as JERRI MOORE, MD

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1306 DOCTORS DRIVE, TYLER, TX 75701 (Tel: 9035921890)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1306 DOCTORS DRIVE, TYLER, TX 75701 (Tel: 9035921890)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KATHLEEN MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #J0605 in TX)

🟢
Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407940547
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: October 19, 2023
Sole Proprietor: No

Mailing Address

809 Singleton Blvd

Dallas, TX 752124014

Phone: 2145400300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.