Active NPI
Richard E. Moore, M.D.
- Orthopaedic Surgery Physician
- Boise, ID
National Provider Identifier
1124221247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M5456
- Legal business name
- RICHARD E. MOORE, M.D.
- Practice address
- 6500 W Emerald St
Boise, ID 83704-8736 - Phone
- (208) 377-0777
- Fax
- (208) 377-1070
- NPI assigned
- Jun 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Moore, M.D.
- Title
- M.D.
- Phone
- (208) 377-0777
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M5456 | ID | Primary |
| Orthopaedic Surgery Physician | 207X00000X | M8524 | ID | |
| Physician Assistant | 363A00000X | PA370 | ID |
Addresses
Primary practice location
6500 W Emerald St
Boise, ID 83704-8736
Mailing address
6500 W Emerald St
Boise, ID 83704-8736
Phone (208) 377-0777
Other names 1
- Ada Orthopaedic Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278374400000",
"number": "1124221247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048736",
"telephone_number": "208-377-0777",
"fax_number": "208-377-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048736",
"telephone_number": "208-377-0777",
"fax_number": "208-377-1070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD E. MOORE, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2010-07-06",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "208-377-0777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M5456",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M8524",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA370",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ada Orthopaedic Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.