Active NPI
Zachary Moore, AU.D., CCC-A
- Audiologist
- Columbia, SC
National Provider Identifier
1164023305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 398
- Practice address
- 4500 8TH Division Rd
Columbia, SC 29207-5700 - Phone
- (803) 751-3110
- NPI assigned
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 398 | NE | Primary |
Addresses
Primary practice location
4500 8TH Division Rd
Columbia, SC 29207-5700
Mailing address
4500 8TH Division Rd
Columbia, SC 29207-5700
Phone (803) 751-3110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 398 | NE | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1164023305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 8TH DIVISION RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292075700",
"telephone_number": "803-751-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 8TH DIVISION RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292075700",
"telephone_number": "803-751-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ZACHARY",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-04",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.