Mooneys Shoes

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MOONEYS SHOES

Practice address

2825 Washington Rd
G-2
Augusta, GA 30909-2196

Phone

(706) 722-8773

Fax

(706) 722-1227

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dan Calvin Williams, CERTIFIED PEDORTHIST

Title

Owner

Phone

(706) 722-8773

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1316084361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 WASHINGTON RD",
            "address_2": "G-2",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092196",
            "telephone_number": "706-722-8773",
            "fax_number": "706-722-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 WASHINGTON RD",
            "address_2": "G-2",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092196",
            "telephone_number": "706-722-8773",
            "fax_number": "706-722-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONEYS SHOES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-722-8773",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Young Moon, MD
• Kamarin Moon, DMD
• Kellie Jiwon Moon, MD
• Katarzyna Konopka Mooney, DPT
• Ryan Patrick Mooneyham, DDS
• Debra Tanece Moore-Hill, M.D.
• Aubrey Lee Moore III, PH.D.
• Carrington Montana Moore, MD
• Cheryl Jones Moore, RN
• Donna B. Moore, MD

• Customized Equipment (DME) in Augusta, GA
• Providers in Augusta, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.