Individual provider Active NPI

Daniel Andrew Moore

  • Student in an Organized Health Care Education/Training Program
  • Boone, NC
National Provider Identifier
1093455495
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Appfamily Medicine 148 NC-105 Extension
Suite 102
Boone, NC 26807
Phone
(828) 262-4100
NPI assigned
Apr 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Appfamily Medicine 148 NC-105 Extension
Suite 102
Boone, NC 26807

Mailing address

Appfamily Medicine 148 NC-105 Extension
Suite 102
Boone, NC 26807-6529
Phone (828) 262-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223000897 NC Practitioner - Family Practice 5799167938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians
Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians

Practice addresses (Care Compare)

148 Hwy 105 Ext
Suite 102
Boone, NC 28607-5682
Phone (828) 386-2222

336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 263-4133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. CurrentSince Nov 14, 2025 Accepting new patients
Appalachian Regional Medical Associates, Inc. CurrentSince Nov 14, 2025 Accepting new patients
Watauga Medical Center Inc CurrentSince Nov 14, 2025 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Current Accepting new patients
Watauga Medical Center, Inc. CurrentSince Nov 14, 2025 Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Nov 14, 2025 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

148 Highway 105 Ext
Ste 102
Boone, NC 28607
Phone (828) 257-2946

Interoperability endpoints

  • Direct secure messaging: dmoore324596@direct.unc.nchie.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1093455495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "APPFAMILY MEDICINE 148 NC-105 EXTENSION",
            "address_2": "SUITE 102",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "268076529",
            "telephone_number": "828-262-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "APPFAMILY MEDICINE 148 NC-105 EXTENSION",
            "address_2": "SUITE 102",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "26807",
            "telephone_number": "828-262-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DANIEL",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.