Individual provider Active NPI

David Richard Moore, M.S, BC-HIS

  • Hearing Instrument Specialist
  • Woodinville, WA
National Provider Identifier
1104948249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA00003843 Issued in WA
Practice address
17309 139TH Ave NE
Woodinville, WA 98072-8571
Phone
(425) 487-3942
Fax
(425) 489-3092
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA00003843 WA Primary

Addresses

Primary practice location

17309 139TH Ave NE
Woodinville, WA 98072-8571

Mailing address

17309 139TH Ave NE
Woodinville, WA 98072-8571
Phone (425) 487-3942

Other identifiers 1

IdentifierTypeStateIssuer
HA00003843OtherWAHEARING INST FITTER DISP

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

LicenseStateTypeSpecialty
HA00003843WAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104948249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17309 139TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728571",
            "telephone_number": "425-487-3942",
            "fax_number": "425-489-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17309 139TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728571",
            "telephone_number": "425-487-3942",
            "fax_number": "425-489-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "credential": "M.S, BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA00003843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING INST FITTER DISP",
            "identifier": "HA00003843",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.