Organization Active NPI

Moore Advanced Orthopedics PLLC

  • Orthopaedic Surgery Physician
  • Goodyear, AZ
National Provider Identifier
1720708753
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MOORE ADVANCED ORTHOPEDICS PLLC
Practice address
140 N Litchfield Rd Ste 110
Goodyear, AZ 85338-1226
Phone
(707) 980-4454
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Nathan Moore, DONPI 1346575081
Title
Owner
Phone
(707) 980-4454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

140 N Litchfield Rd Ste 110
Goodyear, AZ 85338-1226

Mailing address

9426 W Saddlehorn Rd
Peoria, AZ 85383-1523
Phone (707) 980-4454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221102003047 AZ Part B Supplier - Clinic/Group Practice 7113394248 Receives reassigned benefits from 3 practitioners
Practice locations: Goodyear, AZ

National Provider Directory

National Provider Directory

Locations

1616 N Litchfield Rd
Ste 240
Goodyear, AZ 85395
Phone (602) 456-1835

140 N Litchfield Rd
Ste 110A
Goodyear, AZ 85338

24654 N Lake Pleasant Pkwy
Ste 103
Peoria, AZ 85383

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1720708753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 W SADDLEHORN RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831523",
            "telephone_number": "707-980-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N LITCHFIELD RD STE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381226",
            "telephone_number": "707-980-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE ADVANCED ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-980-4454",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.