Active NPI
Double Arrow Metabolism, LLC
- Endocrinology, Diabetes & Metabolism Physician
- Wichita, KS
National Provider Identifier
1750769956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0430959
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.