David Moore Jr
David Moore Jr is a healthcare organization registered as Mental Illness Intermediate Care Facility in Durham, NC, holding Type 2 (organization) NPI 1679798045 since 2007. The authorized official on file is David Moore, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679798045 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | David Moore Jr |
| Other name | <Unavail> |
| Practice address | 3108 DEARBORN DR, Durham, NC, 27704 |
| Phone | 9196329219 |
| Enumeration date | 2007-04-13 |
| Last updated in NPPES | 2008-06-25 |
Authorized official
| Name | David Moore |
|---|---|
| Title | Owner |
| Phone | 9196329219 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310500000X | Mental Illness Intermediate Care Facility | Primary | MHL-032-304 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805024 | Medicaid | NC | — |
Copy-ready billing details
Provider: David Moore Jr NPI: 1679798045 Taxonomy: 310500000X (Mental Illness Intermediate Care Facility) Address: 3108 DEARBORN DR, Durham, NC, 27704
Verify this record
Cross-check NPI 1679798045 against the authoritative CMS record: view David Moore Jr on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for David Moore Jr?
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-06-25.