NPIMap

Organization Active NPI

Moore Orthopedics and Sports Medicine, P.a.

  • Orthopaedic Surgery Physician
  • Morehead City, NC
National Provider Identifier
1104156108
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MOORE ORTHOPEDICS AND SPORTS MEDICINE, P.A.
Practice address
4218 Arendell St
Suite M
Morehead City, NC 28557-2866
Phone
(252) 808-3100
Fax
(252) 808-3120
NPI assigned
Jan 13, 2010
Last updated
Mar 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
Jeffrey K. Moore, M.D.NPI 1821196478
Title
President
Phone
(252) 808-3100

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4218 Arendell St
Suite M
Morehead City, NC 28557-2866

Mailing address

4218 Arendell St
Suite M
Morehead City, NC 28557-2866
Phone (252) 808-3100

Other identifiers 1

IdentifierTypeStateIssuer
5913911MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000172 NC Part B Supplier - Clinic/Group Practice 1153450390 Receives reassigned benefits from 10 practitioners
Practice locations: Morehead City, NC; Cedar Point, NC

National Provider Directory

National Provider Directory

Locations

4218 Arendell St
#B
Morehead City, NC 28557
Phone (252) 808-3100

4251 Arendell St
Ste B
Morehead City, NC 28557
Phone (252) 222-3340

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1104156108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 ARENDELL ST",
            "address_2": "SUITE M",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572866",
            "telephone_number": "252-808-3100",
            "fax_number": "252-808-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 ARENDELL ST",
            "address_2": "SUITE M",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572866",
            "telephone_number": "252-808-3100",
            "fax_number": "252-808-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE ORTHOPEDICS AND SPORTS MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-808-3100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913911",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.