Active NPI
Thomas G Moore
- Audiologist-Hearing Aid Fitter
- Albuquerque, NM
National Provider Identifier
1437430055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 4981
- Practice address
- 3301 Menaul Blvd NE
Suite 26
Albuquerque, NM 87107-1852 - Phone
- (505) 889-9700
- NPI assigned
- Sep 9, 2011
- Last updated
- Nov 26, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | NU | ||
| Audiologist-Hearing Aid Fitter | 237600000X | 4981 | NM | Primary |
| Hearing Instrument Specialist | 237700000X | 4981 | NM |
Addresses
Primary practice location
3301 Menaul Blvd NE
Suite 26
Albuquerque, NM 87107-1852
Mailing address
2510 E Sunset Rd
Unit 5-260
Las Vegas, NV 89120-3511
Phone (702) 798-0113
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jack Jones Hearing Centers, Inc. | Audiologist | Past | Accepting new patients |
| Sandia Medical Instruments | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sandia Hearing Aids
- Audiologist-Hearing Aid Fitter
- Albuquerque, NM
- NPI 1578620092
-
dba AudioNova
- Hearing Aid Equipment
- Fort Worth, TX
- NPI 1134115256
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1437430055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 E SUNSET RD",
"address_2": "UNIT 5-260",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203511",
"telephone_number": "702-798-0113",
"fax_number": "866-291-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 MENAUL BLVD NE",
"address_2": "SUITE 26",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071852",
"telephone_number": "505-889-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "THOMAS",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-09",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NM",
"license": "4981",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NM",
"license": "4981",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.