Scott Anthony Moore

Physician • Canadian, OK

Deactivated NPI 1932510351 Deactivated in NPPES Male Practitioner

Practice location in NPPES

69 Arrowhead Loop
Canadian, OK 744255012

Phone: 9183395800

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of January 21, 2020; the reason is not published. The records below are historical. They do not show whether Scott Moore currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date May 20, 2014

NPI Deactivation Date January 21, 2020

NPI Active Period 2014 – 2020

Practice Location & Contact Primary Location

Practice Address

69 Arrowhead Loop

Canadian, OK 744255012

Telephone 9183395800

Fax 9183395801

Before You Book

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Organization at the Same NPPES Address or Phone

Narconon Of Oklahoma, Inc. Facility NPI 1730339771

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Canadian and Oklahoma

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Substance Abuse Rehabilitation Facility Primary Specialty

NUCC Taxonomy Code: 324500000X

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated January 21, 2020

NPPES lists this NPI as deactivated as of January 21, 2020; the reason is not published.

✅

NPI Profile Active May 20, 2014

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) May 20, 2014

Registered at 69 ARROWHEAD LOOP, CANADIAN, OK 744255012 (Tel: 9183395800)

📍

Business Mailing Address (Initial Record) May 20, 2014

Registered at 69 ARROWHEAD LOOP, CANADIAN, OK 744255012 (Tel: 9183395800)

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Provider Name / Credentials (Initial Record) May 20, 2014

Recorded as SCOTT MOORE

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2014

Substance Abuse Rehabilitation Facility

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Initial NPI Registration & Enumeration May 20, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932510351

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 20, 2014

Last Update: May 20, 2014

Deactivation Date: January 21, 2020

Update or Correct Profile

Mailing Address

69 Arrowhead Loop

Canadian, OK 744255012

Phone: 9183395800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.