Organization Active NPI

Moon Ride

  • Non-emergency Medical Transport (VAN)
  • Colorado Springs, CO
National Provider Identifier
1114706348
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MOON RIDE
Practice address
2175 Academy Cir
Colorado Springs, CO 80909-1695
Phone
(720) 345-1303
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Daniel Musra Abza
Title
Manager
Phone
(720) 345-1303

Specialties & licenses 1

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

Addresses

Primary practice location

2175 Academy Cir
Colorado Springs, CO 80909-1695

Mailing address

1300 S Willow St Apt 11308
Denver, CO 80247-2178
Phone (720) 345-1303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1114706348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S WILLOW ST APT 11308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472178",
            "telephone_number": "720-345-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091695",
            "telephone_number": "720-345-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON RIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "ABZA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MUSRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-345-1303"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.