Active NPI
Tyler Caphton Moffett, M.D.
- Hospitalist Physician
- Anchorage, AK
National Provider Identifier
1902817869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MEDS3968
- Practice address
- 1201 N Muldoon Rd
Anchorage, AK 99504-6104 - Phone
- (907) 257-4700
- Fax
- (907) 580-2090
- NPI assigned
- Aug 10, 2006
- Last updated
- Apr 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MEDS3968 | AK | Primary |
| Internal Medicine Physician | 207R00000X | 3968 | AK | |
| Internal Medicine Physician | 207R00000X | MD32612 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD32612 | WA | |
| Pulmonary Disease Physician | 207RP1001X | 3968 | AK |
Addresses
Primary practice location
1201 N Muldoon Rd
Anchorage, AK 99504-6104
Mailing address
37578 Captains Court Cir
Kenai, AK 99611-8794
Phone (907) 395-0443
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD32612 | WA | MD | Internal Medicine Physician |
Interoperability endpoints
- tyler.moffett.1@14977.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1902817869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37578 CAPTAINS COURT CIR",
"city": "KENAI",
"state": "AK",
"postal_code": "996118794",
"telephone_number": "907-395-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N MULDOON RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995046104",
"telephone_number": "907-257-4700",
"fax_number": "907-580-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFETT",
"first_name": "TYLER",
"middle_name": "CAPHTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AK",
"license": "MEDS3968",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AK",
"license": "3968",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD32612",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD32612",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AK",
"license": "3968",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.