Active NPI
Joel B. Moffett, M.D.
- Family Medicine Physician
- Burlington, NC
National Provider Identifier
1376563387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32542
- Practice address
- 316 N Graham Hopedale Rd
Burlington, NC 27217-2969 - Phone
- (336) 538-1234
- Fax
- (336) 584-6811
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32542 | NC | Primary |
Addresses
Primary practice location
316 N Graham Hopedale Rd
Burlington, NC 27217-2969
Mailing address
PO Box 1717
Burlington, NC 27216-1717
Phone (336) 538-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8959931 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32542 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1376563387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1717",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272161717",
"telephone_number": "336-538-1234",
"fax_number": "336-584-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 N GRAHAM HOPEDALE RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172969",
"telephone_number": "336-538-1234",
"fax_number": "336-584-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFETT",
"first_name": "JOEL",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "32542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8959931",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.