Organization Active NPI

Moore Health and Nutrition Solutions

  • Registered Dietitian
  • Greensboro, NC
National Provider Identifier
1003541228
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dejuan JP Moore, RD, RDNNPI 1548996879
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.