Active NPI
Moran Kids
- Pediatric Orthopaedic Surgery Physician
- Boca Raton, FL
National Provider Identifier
1154895811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- Legal business name
- MORAN KIDS
- Practice address
- 9980 Central Park Blvd N
Boca Raton, FL 33428-1762 - Phone
- (561) 990-2663
- NPI assigned
- Jan 16, 2019
- 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
- Mrs. Jeanie Marie Moran, CSFA
- Title
- Manager
- Phone
- (561) 990-2663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | Primary |
Addresses
Primary practice location
9980 Central Park Blvd N
Boca Raton, FL 33428-1762
Mailing address
9394 Cobblestone Brooke CT
Boynton Beach, FL 33472-4429
Phone (630) 362-1049
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650213201 | Medicaid | IL | |
| 1376541326 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1154895811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9394 COBBLESTONE BROOKE CT",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334724429",
"telephone_number": "630-362-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9980 CENTRAL PARK BLVD N",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281762",
"telephone_number": "561-990-2663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORAN KIDS",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-16",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MORAN",
"authorized_official_first_name": "JEANIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-990-2663",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "650213201",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376541326",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
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.