Individual provider Active NPI

Michael Feng Moh, MS, RD, LD, CSCS

  • Registered Dietitian
  • Brownwood, TX
National Provider Identifier
1326638008
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86108227
Practice address
800 S Greenleaf St
Brownwood, TX 76801-7050
Phone
(626) 318-4698
NPI assigned
Jan 26, 2021
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT86176 TX
Registered Dietitian 133V00000X 86108227 Primary

Addresses

Primary practice location

800 S Greenleaf St
Brownwood, TX 76801-7050

Mailing address

800 S Greenleaf St
Brownwood, TX 76801-7050
Phone (626) 318-4698

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT86176TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1326638008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S GREENLEAF ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768017050",
            "telephone_number": "626-318-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S GREENLEAF ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768017050",
            "telephone_number": "626-318-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOH",
        "first_name": "MICHAEL",
        "middle_name": "FENG",
        "credential": "MS, RD, LD, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86176",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86108227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.