Organization Active NPI

Moore Orthopedics and Sports Medicine

  • Specialist
  • Cedar Point, NC
National Provider Identifier
1134598287
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32801 Issued in NC
Legal business name
MOORE ORTHOPEDICS AND SPORTS MEDICINE
Practice address
1165 Cedar Point Blvd
Suite M
Cedar Point, NC 28584-8023
Phone
(252) 808-4440
Fax
(252) 764-2442
NPI assigned
Sep 18, 2015
Organization subpart
Yes
Parent organization
MOORE ORTHOPEDICS AND SPORTS MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Megan Doolittle Johnson
Title
Practice Manager
Phone
(252) 808-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 32801 NC Primary

Addresses

Primary practice location

1165 Cedar Point Blvd
Suite M
Cedar Point, NC 28584-8023

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
5913911MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Moore Orthopedics and Sports Medicine3 organizations share this tax ID, including this one
Part of
Moore Orthopedics and Sports Medicine

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2367/brand/1/csg/1/fhir/r4

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": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1134598287",
    "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": "1165 CEDAR POINT BLVD",
            "address_2": "SUITE M",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848023",
            "telephone_number": "252-808-4440",
            "fax_number": "252-764-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOORE ORTHOPEDICS AND SPORTS MEDICINE",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "DOOLITTLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "252-808-3100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "32801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913911",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.