Organization Active NPI

Martin L. Moore Apc

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1164934824
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARTIN L. MOORE APC
Practice address
5050 Chappelet Dr
Sparks, NV 89436-8132
Phone
(775) 857-7508
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
Martin Louis Moore
Title
President
Phone
(775) 857-7508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5050 Chappelet Dr
Sparks, NV 89436-8132

Mailing address

5050 Chappelet Dr
Sparks, NV 89436-8132
Phone (775) 857-7508

National Provider Directory

National Provider Directory

Locations

3961 S McCarran Blvd
Reno, NV 89502
Phone (775) 360-3306

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1164934824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CHAPPELET DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368132",
            "telephone_number": "775-857-7508",
            "fax_number": "775-356-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CHAPPELET DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368132",
            "telephone_number": "775-857-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN L. MOORE APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-857-7508"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.