Active NPI
Devora Belle Moore, DPM
- Foot & Ankle Surgery Podiatrist
- Takoma Park, MD
National Provider Identifier
1437688090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 01715
- Practice address
- 7610 Carroll Ave Ste 230
Takoma Park, MD 20912-6312 - Phone
- (301) 891-2303
- Fax
- (301) 891-2487
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103301319 | VA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01715 | MD | Primary |
Addresses
Primary practice location
7610 Carroll Ave Ste 230
Takoma Park, MD 20912-6312
Mailing address
6130 Oxon Hill Rd Ste 305
Oxon Hill, MD 20745-3168
Phone (301) 567-5005
Other practice location 1
6130 Oxon Hill Rd Ste 305
Oxon Hill, MD 20745-3168
Phone (301) 567-5005
Other practice location 2
4422 3rd Ave
Bronx, NY 10457-2545
Phone (718) 960-9000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1437688090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6130 OXON HILL RD STE 305",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453168",
"telephone_number": "301-567-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 CARROLL AVE STE 230",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126312",
"telephone_number": "301-891-2303",
"fax_number": "301-891-2487"
}
],
"practiceLocations": [
{
"address_1": "6130 Oxon Hill Rd Ste 305",
"address_purpose": "LOCATION",
"city": "Oxon Hill",
"state": "MD",
"postal_code": "207453168",
"country_code": "US",
"telephone_number": "301-567-5005",
"fax_number": "301-839-5677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4422 3rd Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104572545",
"country_code": "US",
"telephone_number": "718-960-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "DEVORA",
"middle_name": "BELLE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103301319",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "01715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.