Moore Surgical Assisting, LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

MOORE SURGICAL ASSISTING, LLC

Practice address

674 Mesa CT
Rifle, CO 81650-2529

Phone

(970) 629-2135

Fax

(888) 329-6432

NPI assigned

Mar 28, 2013

Last updated

Jul 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Jonathan Moore, CSFANPI 1922306760

Title

President

Phone

(970) 629-2135

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• David Jonathan Moore, CSFA

  • Surgical Assistant
  • Rifle, CO
  • NPI 1922306760
  NPD (past) Authorized official

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1447593439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816500602",
            "telephone_number": "970-629-2135",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 MESA CT",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816502529",
            "telephone_number": "970-629-2135",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-629-2135",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSFA CERTIFICATE",
            "identifier": "124936",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kylee Montoya
• Briana Kay Moore, NP
• David Jonathan Moore, CSFA
• George Thomas Morton III, MD
• Mountain Family Health Centers
• Mountain Peaks Counseling, LLC

• Surgical Assistant in Rifle, CO
• Providers in Rifle, CO by specialty
• Surgical Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.