{"npi":"1336302280","type":"NPI-1","status":"active","name":{"display":"Dr. Michael Moore M.D.","other":[],"first":"MICHAEL","last":"MOORE","middle":"R","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"MO","license":"R4837"}]},"addresses":[{"purpose":"LOCATION","street_1":"1003 SOUTH MAIN STREET","city":"EMININCE","state":"MO","postal_code":"654660100","country_code":"US","phone":"5732265505","fax":"5732265584"},{"purpose":"MAILING","street_1":"PO BOX 157","city":"ELLINGTON","state":"MO","postal_code":"636380157","country_code":"US","phone":"5736632313","fax":"5736632322"}],"license":{"state":"MO","number":"R4837"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1336302280","state":"MO","issuer":null},{"type_code":"01","label":"Other","value":"1285957001","state":"MO","issuer":"MEDICAID (GROUP)"},{"type_code":"01","label":"Other","value":"26D2006074","state":"MO","issuer":"CLIA"},{"type_code":"01","label":"Other","value":"597780303","state":"MO","issuer":"RH MEDICAID"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20081003000474","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"MO","pac_id":"7416852561"}]},"enumeration_date":"2008-07-09","last_updated":"2012-07-19","_meta":{"source":"NPPES","snapshot_date":"2012-07-19","doc_url":"https://findmynpi.com/api"}}