Organization Active NPI

Village Animal Hospital, PA

  • Special Hospital
  • Mooresville, NC
National Provider Identifier
1902141310
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
1243 Issued in NC
Legal business name
VILLAGE ANIMAL HOSPITAL, PA
Practice address
628 Carpenter Ave
Mooresville, NC 28115-2538
Phone
(704) 660-9663
Fax
(704) 799-1576
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. Cecil Warren Moretz, DVM
Title
Owner
Phone
(704) 660-9663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 1243 NC Primary

Addresses

Primary practice location

628 Carpenter Ave
Mooresville, NC 28115-2538

Mailing address

628 Carpenter Ave
Mooresville, NC 28115-2538
Phone (704) 660-9663

National Provider Directory

National Provider Directory

Locations

628 Carpenter Ave
Mooresville, NC 28115
Phone (704) 660-9663

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1902141310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 CARPENTER AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152538",
            "telephone_number": "704-660-9663",
            "fax_number": "704-799-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CARPENTER AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152538",
            "telephone_number": "704-660-9663",
            "fax_number": "704-799-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE ANIMAL HOSPITAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "MORETZ",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-660-9663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NC",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.