David D Moran MD LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DAVID D MORAN MD LTD

Practice address

42 Main St
Park Ridge, IL 60068-4054

Phone

(847) 823-2129

Fax

(847) 823-1639

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Duffy Moran, M.D.

Title

Principal

Phone

(847) 823-2129

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740467489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684054",
            "telephone_number": "847-823-2129",
            "fax_number": "847-823-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684054",
            "telephone_number": "847-823-2129",
            "fax_number": "847-823-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D MORAN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DUFFY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-823-2129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Davis & Engert Dentistry
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• Ophthalmology Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.