DR. TYAN ROSE MOORE MD
NPI 1033979802
Student in an Organized Health Care Education/Training Program in Aurora, CO
About Dr. Tyan Rose Moore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYAN ROSE MOORE MD (NPI 1033979802) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tyan Rose Moore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tyan Moore's NPI number?
The NPI number for Tyan Moore is 1033979802. It was assigned to this individual provider in the NPPES registry on March 20, 2024. The provider is also known as Dr. Tyan Rose Fairbank MD.
Where is Tyan Moore located?
Tyan Moore practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-1784.
What is Tyan Moore's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tyan Moore enrolled in Medicare?
Yes. Tyan Moore is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tyan Moore was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Tyan Rose Moore, MD · NPI 1033979802
Student in an Organized Health Care Education/Training Program provider in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since March 20, 2024.
## Identity
- **NPI:** 1033979802 (Entity type: Individual)
- **Enumerated:** March 20, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 12631 E 17TH AVE, Aurora, CO 80045-2527
- **Phone:** (303) 724-1784
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033979802) · Data from the CMS NPPES public registry.