Active NPI
Zachary Glen Moore, AU.D.
- Audiologist
- Frisco, CO
National Provider Identifier
1437597796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 677
- Practice address
- 301 West Main Street
Suite 205
Frisco, CO 80443 - Phone
- (970) 485-6802
- Fax
- (970) 829-4410
- NPI assigned
- Jun 10, 2013
- Last updated
- Oct 27, 2022
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 677 | CO | Primary |
Addresses
Primary practice location
301 West Main Street
Suite 205
Frisco, CO 80443
Mailing address
100 Shane CT
Dillon, CO 80435-8517
Phone (513) 256-7915
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 677 | CO | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Mountain Hearing LLC. | Audiologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist
- Frisco, CO
- NPI 1023718814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1437597796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SHANE CT",
"city": "DILLON",
"state": "CO",
"postal_code": "804358517",
"telephone_number": "513-256-7915",
"fax_number": "970-829-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 WEST MAIN STREET",
"address_2": "SUITE 205",
"city": "FRISCO",
"state": "CO",
"postal_code": "80443",
"telephone_number": "970-485-6802",
"fax_number": "970-829-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ZACHARY",
"middle_name": "GLEN",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-10",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.