NPIMap

Organization Active NPI

L Moore

  • Non-emergency Medical Transport (VAN)
  • Shreveport, LA
National Provider Identifier
1063748481
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
343900000X Issued in LA
Legal business name
L MOORE
Practice address
5031 Dedman Dr
Shreveport, LA 71107-2821
Phone
(318) 584-5299
Fax
(318) 681-9501
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Mr. Lonnie L Moore Jr.
Title
Owner
Phone
(318) 518-8103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 343900000X LA Primary

Addresses

Primary practice location

5031 Dedman Dr
Shreveport, LA 71107-2821

Mailing address

5031 Dedman Dr
Shreveport, LA 71107-2821
Phone (318) 584-5299

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1063748481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 DEDMAN DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711072821",
            "telephone_number": "318-584-5299",
            "fax_number": "318-681-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 DEDMAN DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711072821",
            "telephone_number": "318-584-5299",
            "fax_number": "318-681-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-518-8103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.