Moore Primary Care
Moore Primary Care is a healthcare organization registered as Primary Care Clinic/Center in Moore, OK, holding Type 2 (organization) NPI 1578854576 since 2011. The authorized official on file is Randall Carter, PA-C.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578854576 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Moore Primary Care |
| Practice address | 1400 SE 4TH ST, SUITE H, Moore, OK, 73160 |
| Phone | 4057997400 |
| Fax | 4057997405 |
| Enumeration date | 2011-04-25 |
| Last updated in NPPES | 2011-04-25 |
Authorized official
| Name | Randall Carter |
|---|---|
| Title | PA-C |
| Phone | 4057997400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200079670A | Medicaid | OK | — |
Copy-ready billing details
Provider: Moore Primary Care NPI: 1578854576 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 1400 SE 4TH ST, SUITE H, Moore, OK, 73160
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063536233 | Moore Primary Care Inc | Organization | Family Medicine Physician | Moore, OK |
| 1114153293 | Mandi Rhodes | Individual | Medical Physician Assistant | Moore, OK |
| 1104116508 | Carters Drug Inc, | Organization | Pharmacy | 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 1578854576 against the authoritative CMS record: view Moore Primary Care 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
What is the NPI number for Moore Primary Care?
Who is the authorized official for Moore Primary Care?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-04-25.