Individual provider Active NPI

Michael D More, DPM

  • Podiatrist
  • Cheyenne, WY
National Provider Identifier
1760488407
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
W59 Issued in WY
Practice address
2029 Bluegrass Cir
Ste 200
Cheyenne, WY 82009-7368
Phone
(307) 778-7666
Fax
(307) 632-4465
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X W59 WY Primary

Addresses

Primary practice location

2029 Bluegrass Cir
Ste 200
Cheyenne, WY 82009-7368

Mailing address

2029 Bluegrass Cir
Ste 200
Cheyenne, WY 82009-7368
Phone (307) 778-7666

Other identifiers 2

IdentifierTypeStateIssuer
311541OtherWYBLUE SHIELD
103786200MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
W59WYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Podiatrists, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1760488407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 BLUEGRASS CIR",
            "address_2": "STE 200",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097368",
            "telephone_number": "307-778-7666",
            "fax_number": "307-632-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 BLUEGRASS CIR",
            "address_2": "STE 200",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097368",
            "telephone_number": "307-778-7666",
            "fax_number": "307-632-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WY",
            "license": "W59",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "311541",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103786200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.