Organization Active NPI

David D Moran MD LTD

  • Ophthalmology Physician
  • Park Ridge, IL
National Provider Identifier
1154411056
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
03638570 Issued in IL
Legal business name
DAVID D MORAN MD LTD
Practice address
42 Main St
Park Ridge, IL 60068-4054
Phone
(847) 823-2129
Fax
(847) 823-1639
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. David Duffy Moran, MD
Title
President
Phone
(847) 823-2129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 03638570 IL Primary

Addresses

Primary practice location

42 Main St
Park Ridge, IL 60068-4054

Mailing address

42 Main Street
Park Ridge, IL 60068-4054
Phone (847) 823-2129

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1154411056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MAIN STREET",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684054",
            "telephone_number": "847-823-2129",
            "fax_number": "847-823-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684054",
            "telephone_number": "847-823-2129",
            "fax_number": "847-823-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D MORAN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DUFFY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-823-2129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "03638570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.