Active NPI
Harold Randall Moore, D.P.M.
- Podiatrist
- Fort Collins, CO
National Provider Identifier
1023096989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 339
- Practice address
- 1001 E Harmony Rd Unit a
#310
Fort Collins, CO 80525-8888 - Phone
- (970) 472-8700
- NPI assigned
- Jan 2, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 339 | CO | Primary |
| Podiatrist | 213E00000X | 448 | MO | |
| Podiatrist | 213E00000X | 116 | WY |
Addresses
Primary practice location
1001 E Harmony Rd Unit a
#310
Fort Collins, CO 80525-8888
Mailing address
1001 E Harmony Rd Unit a
#310
Fort Collins, CO 80525-8888
Phone (970) 472-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116212800 | Medicaid | WY | |
| 95885269 | Medicaid | CO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 448 | MO | MD | Podiatrist |
| 116 | WY | MD | Podiatrist |
| 116 | NY | MD | Audiologist |
| 339 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Clinic, LLC | Past | Accepting new patients | |
| Harold Moore | Past | Accepting new patients | |
| Skye Yoga Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Fort Collins, CO
- NPI 1841460367
-
- Primary Care Clinic/Center
- Laramie, WY
- NPI 1285777607
-
- Mental Health Counselor
- Laramie, WY
- NPI 1699470831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1023096989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E HARMONY RD UNIT A",
"address_2": "#310",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805258888",
"telephone_number": "970-472-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E HARMONY RD UNIT A",
"address_2": "#310",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805258888",
"telephone_number": "970-472-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "HAROLD",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-02",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CO",
"license": "339",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "448",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WY",
"license": "116",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116212800",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95885269",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.