NPIMap

Individual provider Active NPI

Zane Moore, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Conway, AR
National Provider Identifier
1891109963
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
275 Issued in AR
Practice address
650 United Dr Ste 110
Conway, AR 72032-7000
Phone
(501) 483-0900
Fax
(866) 493-3963
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 275 AR Primary

Addresses

Primary practice location

650 United Dr Ste 110
Conway, AR 72032-7000

Mailing address

650 United Dr Ste 110
Conway, AR 72032-7000
Phone (501) 483-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728001846 AR Practitioner - Podiatry 7416228101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

650 United Dr
Suite 110
Conway, AR 72032-7000
Phone (501) 483-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue65
Removal of nail tissue406
Removal or shaving of skin growth104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
275ARMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vafa Ferdowsian DPM, P.a. CurrentSince Aug 1, 2017 Accepting new patients
Central Arkansas Foot and Ankle Specialist Single Specialty CurrentSince Dec 20, 2023 Accepting new patients
Vafa Ferdowsian DPM, P.a. Single Specialty CurrentSince Aug 1, 2017 Accepting new patients

Locations

1120 Hogan Ln
Ste B
Conway, AR 72034
Phone (501) 327-3668

703 Donaghey Ave
Conway, AR 72034
Phone (501) 327-3668

650 United Dr
Ste 110
Conway, AR 72032
Phone (501) 358-6212

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBEDDD/Endpoint/BBEDDD

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1891109963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 UNITED DR STE 110",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327000",
            "telephone_number": "501-483-0900",
            "fax_number": "866-493-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNITED DR STE 110",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327000",
            "telephone_number": "501-483-0900",
            "fax_number": "866-493-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ZANE",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.