Active NPI
Tiffany McCoy Moore, DC
- Chiropractor
- Flower Mound, TX
National Provider Identifier
1023201985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6315
- Practice address
- 2628 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839 - Phone
- (972) 899-8002
- Fax
- (972) 899-8003
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6315 | TX | Primary |
| Radiology Chiropractor | 111NR0200X | 242 | TX |
Addresses
Primary practice location
2628 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839
Mailing address
2628 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839
Phone (972) 899-8002
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242 | TX | MD | Radiology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Chiropractor
- Flower Mound, TX
- NPI 1205933231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1023201985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2628 LONG PRAIRIE RD",
"address_2": "SUITE 105",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750224839",
"telephone_number": "972-899-8002",
"fax_number": "972-899-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2628 LONG PRAIRIE RD",
"address_2": "SUITE 105",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750224839",
"telephone_number": "972-899-8002",
"fax_number": "972-899-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY MOORE",
"first_name": "TIFFANY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6315",
"primary": true
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "TX",
"license": "242",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.