Organization Active NPI

Double Arrow Metabolism, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
National Provider Identifier
1750769956
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0430959 Issued in KS
Legal business name
DOUBLE ARROW METABOLISM, LLC
Practice address
2242 N Redbud LN
Wichita, KS 67204-5346
Phone
(316) 200-7711
NPI assigned
May 8, 2015
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Dr. Justin B Moore, M.D.
Title
Owner
Phone
(316) 200-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0430959 KS Primary

Addresses

Primary practice location

2242 N Redbud LN
Wichita, KS 67204-5346

Mailing address

2242 N Redbud LN
Wichita, KS 67204-5346
Phone (316) 200-7711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1750769956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 N REDBUD LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672045346",
            "telephone_number": "316-200-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 N REDBUD LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672045346",
            "telephone_number": "316-200-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE ARROW METABOLISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-200-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KS",
            "license": "0430959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.