Marty Jacob Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3548 Issued in OH

Practice address

543 Riffel Rd Ste D Wooster, Ohio 44691
Wooster, OH 44691-7216

Phone

(330) 262-6655

Fax

(330) 345-1615

NPI assigned

Jun 5, 2006

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moore Chiropractic & Wellness of Wooster, Inc.

  • Chiropractor
  • Wooster, OH
  • NPI 1831367911
  Medicare reassignment NPD Authorized official
• Dermatologists of Southwestern Ohio, LLC.

  dba Dermatologists of Southwest Ohio, LLC

  • Dermatology Physician
  • Dayton, OH
  • NPI 1801819883
  NPD (past)
• McMillen Chiropractic Office, Inc

  • Rehabilitation Chiropractor
  • Akron, OH
  • NPI 1710162490
  NPD (past)
• Mid States Chiropractic of Euclid Road Health Care

  • Chiropractor
  • Willoughby, OH
  • NPI 1881635829
  NPD (past)
• Reed Chiropractic and Acupuncture Clinic LLC

  • Chiropractor
  • North Royalton, OH
  • NPI 1497432827
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1003855198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 RIFFEL RD SUITE D",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917216",
            "telephone_number": "330-262-6655",
            "fax_number": "330-345-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 RIFFEL RD STE D WOOSTER, OHIO 44691",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917216",
            "telephone_number": "330-262-6655",
            "fax_number": "330-345-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARTY",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane Ellis Moore, ATC, LAT
• Demetri J Moore
• Hayden C Moore, LSW
• Jason L Moore, L.M.T.
• Mariah Elizabeth Moore, LSW
• Rachel Lindsay Moore, QMHS
• Shameaca Moore
• Alyssa Katherine Morales
• Emily Ann Morgan
• Marquelleo Morgan

• Chiropractor in Wooster, OH
• Providers in Wooster, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.