Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dustin Burson Moore

Individual provider Case Manager/Care Coordinator · NPI 1518672120

Dustin Burson Moore is a Case Manager/Care Coordinator in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2023.

Licensed in
ID
In the registry since
2023
Specialties on file
2

Practice location Address checks out

630 Addison Ave W Ste 1000
Twin Falls, ID 83301-5853
Phone: (208) 736-5048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-9658 (ID)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1518672120
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023
Mailing address776 N Pointe Dr, Twin Falls, ID 83301-3285

Other providers in Twin Falls