Canmoor Weight Loss - Tysons LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CANMOOR WEIGHT LOSS - TYSONS LLC

Doing business as

Copare
EMP 180 Weight Loss

Practice address

8313 Leesburg Pike # 218
Vienna, VA 22182-2407

Phone

(206) 200-0693

NPI assigned

Mar 29, 2024

Last updated

Mar 29, 2024By 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. James G Moore

Title

Founder

Phone

(206) 200-0693

Specialties & licenses 1

Addresses

Other names 2

• Copare Doing business as
• EMP 180 Weight Loss Doing business as

Locations

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1578314258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 LEESBURG PIKE # 218",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822407",
            "telephone_number": "206-200-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 LEESBURG PIKE # 218",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822407",
            "telephone_number": "206-200-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANMOOR WEIGHT LOSS - TYSONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "206-200-0693",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EMP 180 Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Caceres, LCSW
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• Isabella Calvi Nunes
• Stella Rose Campbell
• Estefan Cancel
• Amber Cantwell
• Nathan Cao
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• Capital Area Physician Weight & Wellness Center, Inc (Luminiv Wellness)
• Capital Area Psychiatric SVC.

• Public Health or Welfare Agency in Vienna, VA
• Providers in Vienna, VA by specialty
• Public Health or Welfare Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.