NPIMap

Organization Active NPI

Richard E. Moore, M.D.

Doing business as Ada Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Boise, ID
National Provider Identifier
1124221247
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M5456 Issued in ID
Legal business name
RICHARD E. MOORE, M.D.
Doing business as
Ada Orthopaedic Clinic
Practice address
6500 W Emerald St
Boise, ID 83704-8736
Phone
(208) 377-0777
Fax
(208) 377-1070
NPI assigned
Jun 6, 2007
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Dr. Richard Moore, M.D.NPI 1679519367
Title
M.D.
Phone
(208) 377-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X M5456 ID Primary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X M8524 ID
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI 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.

Verify at the official NPI Registry.