Organization Active NPI

Dr. Moore Audiology LLC

  • Audiologist
  • Sun City, AZ
National Provider Identifier
1295435188
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
DR. MOORE AUDIOLOGY LLC
Practice address
14633 N del Webb Blvd
Sun City, AZ 85351-2144
Phone
(623) 250-1500
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Gregory Moore
Title
Owner/Aud
Phone
(623) 250-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

14633 N del Webb Blvd
Sun City, AZ 85351-2144

Mailing address

14633 N del Webb Blvd
Sun City, AZ 85351-2144

Other names 1

  • Moore Hearing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327002006 AZ Part B Supplier - Clinic/Group Practice 6103290507 Receives reassigned benefits from 1 practitioner
Practice locations: Sun City, AZ

National Provider Directory

National Provider Directory

Locations

14633 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 549-2259

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1295435188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14633 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14633 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512144",
            "telephone_number": "623-250-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MOORE AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/AUD",
        "authorized_official_telephone_number": "623-250-1500"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.