Active NPI
Ricardo Moreno, MS ATC CSCS
- Athletic Trainer
- Mesa, AZ
National Provider Identifier
1013377316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0281
- Practice address
- 7110 E McKellips Rd
Mesa, AZ 85207-1908 - Phone
- (480) 654-7726
- NPI assigned
- Feb 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0281 | AZ | Primary |
Addresses
Primary practice location
7110 E McKellips Rd
Mesa, AZ 85207-1908
Mailing address
1090 N Nantucket CT
Chandler, AZ 85225-1579
Phone (480) 250-3897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0281 | AZ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1013377316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 N NANTUCKET CT",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251579",
"telephone_number": "480-250-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7110 E MCKELLIPS RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852071908",
"telephone_number": "480-654-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "RICARDO",
"credential": "MS ATC CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-29",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.