Moore Primary Care Inc
Moore Primary Care Inc is a healthcare organization registered as Family Medicine Physician in Moore, OK, holding Type 2 (organization) NPI 1063536233 since 2007. The authorized official on file is Randall Carter, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063536233 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Moore Primary Care Inc |
| Practice address | 1400 SE 4TH ST, STE H, Moore, OK, 73160 |
| Phone | 4057997400 |
| Enumeration date | 2007-03-16 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Randall Carter |
|---|---|
| Title | Owner |
| Phone | 4057997400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 2438 | OK |
Copy-ready billing details
Provider: Moore Primary Care Inc NPI: 1063536233 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1400 SE 4TH ST, STE H, Moore, OK, 73160
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114153293 | Mandi Rhodes | Individual | Medical Physician Assistant | Moore, OK |
| 1104116508 | Carters Drug Inc, | Organization | Pharmacy | Moore, OK |
| 1578854576 | Moore Primary Care | Organization | Primary Care Clinic/Center | Moore, OK |
| 1871863712 | Kay Rochester | Individual | Physician Assistant | Moore, OK |
| 1447521539 | Sasa Jackson | Individual | Physician Assistant | Moore, OK |
| 1124448956 | Michael Dunn | Individual | Counselor | Moore, OK |
| 1811308356 | Moore Family Medicine Associates Aprn-Cnp, PC | Organization | Family Medicine Physician | Moore, OK |
| 1003227547 | Moore Primary Care Geriatrics Aprn-Cnp, PC | Organization | Geriatric Medicine (Family Medicine) Physician | Moore, OK |
Verify this record
Cross-check NPI 1063536233 against the authoritative CMS record: view Moore Primary Care Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Moore Primary Care Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.