Active NPI
Moore Health and Nutrition Solutions
- Registered Dietitian
- Greensboro, NC
National Provider Identifier
1003541228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MOORE HEALTH AND NUTRITION SOLUTIONS
- Practice address
- 4528 Holland Rd
Greensboro, NC 27405-2815 - Phone
- (336) 609-0963
- NPI assigned
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dejuan JP Moore, RD, RDN
- Title
- Registered Dietitian
- Phone
- (336) 609-0963
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
4528 Holland Rd
Greensboro, NC 27405-2815
Mailing address
415 Pisgah Church Road PMB 321
Greensboro, NC 27455-2590
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1003541228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 PISGAH CHURCH ROAD PMB 321",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4528 HOLLAND RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274052815",
"telephone_number": "336-609-0963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORE HEALTH AND NUTRITION SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-11",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "DEJUAN",
"authorized_official_middle_name": "JP",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "336-609-0963",
"authorized_official_credential": "RD, RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.