Organization Active NPI

Ocean Addiction Recovery Services, LLC

  • Addiction Medicine (Anesthesiology) Physician
  • Vero Beach, FL
National Provider Identifier
1417386624
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
0S10340 Issued in FL
Legal business name
OCEAN ADDICTION RECOVERY SERVICES, LLC
Practice address
1705 19 PL
Ste E-2
Vero Beach, FL 32960
Phone
(772) 257-5995
Fax
(772) 257-5995
NPI assigned
Nov 7, 2013
Last updated
Apr 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Douglas Wade Moreland, DONPI 1841422797
Title
Owner
Phone
(772) 257-5995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X 0S10340 FL Primary

Addresses

Primary practice location

1705 19 PL
Ste E-2
Vero Beach, FL 32960

Mailing address

1705 19TH PL
Ste E-2
Vero Beach, FL 32960-0686
Phone (772) 257-5995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1417386624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 19TH PL",
            "address_2": "STE E-2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600686",
            "telephone_number": "772-257-5995",
            "fax_number": "772-257-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 19 PL",
            "address_2": "STE E-2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-257-5995",
            "fax_number": "772-257-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN ADDICTION RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-257-5995",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "FL",
            "license": "0S10340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.