Active NPI
John T Moore, MD
- Surgery Physician
- Denver, CO
National Provider Identifier
1578626305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25670
- Practice address
- 1960 Ogden St
Suite 530
Denver, CO 80218-1022 - Phone
- (303) 318-2600
- Fax
- (303) 318-2604
- NPI assigned
- Dec 19, 2006
- Last updated
- Aug 3, 2011
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25670 | CO | Primary |
Addresses
Primary practice location
1960 Ogden St
Suite 530
Denver, CO 80218-1022
Mailing address
Dept 557
Denver, CO 80291-0001
Phone (303) 467-4162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01256700 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231108000890 | CO | Order and Referring Only - General Surgery | 9537183850 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1578626305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 557",
"city": "DENVER",
"state": "CO",
"postal_code": "802910001",
"telephone_number": "303-467-4162",
"fax_number": "303-318-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 OGDEN ST",
"address_2": "SUITE 530",
"city": "DENVER",
"state": "CO",
"postal_code": "802181022",
"telephone_number": "303-318-2600",
"fax_number": "303-318-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JOHN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "25670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01256700",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.