David Moore Jr

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

MHL-032-304 Issued in NC

Legal business name

DAVID MOORE JR

Practice address

3108 Dearborn Dr
Durham, NC 27704-2306

Phone

(919) 632-9219

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Moore Jr.

Title

Owner

Phone

(919) 632-9219

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moores House Doing business as

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1679798045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 DEARBORN DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-632-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 DEARBORN DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042306",
            "telephone_number": "919-632-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MOORE JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-632-9219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-032-304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805024",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moores House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandeep S. Dave, MD
• Kenzi Kay Davey
• Samantha Claire Davey, PT, DPT
• David F Naftolowitz MD PC
• David M. Lambert, DDS, PA
• David S. Leidich, PA
• David W. Stewart
• David Young Oh, LLC
• Amy Cummings Davidian, DDS
• Edward William Davidian Jr., DDS

• Mental Illness Intermediate Care Facility in Durham, NC
• Providers in Durham, NC by specialty
• Mental Illness Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.