Dale Edward Moreno, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101058245 Issued in VA

Practice address

306 Weaver Ave
Emporia, VA 23847-1232

Phone

(434) 917-0006

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia General Surgery, PLLC

  • Surgery Physician
  • Emporia, VA
  • NPI 1023156742
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730220526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 SANDY LN",
            "city": "BRACEY",
            "state": "VA",
            "postal_code": "239192004",
            "telephone_number": "434-636-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WEAVER AVE",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471232",
            "telephone_number": "434-917-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "DALE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101058245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007309091",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "48178",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "174922",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Michael Mitchell, MD
• Monacan Emgergency Physicians
• Montville Dialysis LLC
• Moore Home Care Services, Inc.
• Shaniqua Moore
• Vicki Lynne Morris, RPH
• Ndutime Youth & Family Services, Inc.
• Harold Jones Neal Jr., DDS
• Johnee Nedrick, FNP
• New Century Hospice of Richmond, LLC

• Surgery Physician in Emporia, VA
• Providers in Emporia, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.