Organization Active NPI

Moore Chiropractic Wellness Centre LLC

  • Chiropractor
  • Pagosa Springs, CO
National Provider Identifier
1043480775
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1684 Issued in CO
Legal business name
MOORE CHIROPRACTIC WELLNESS CENTRE LLC
Practice address
46 Eaton Dr Ste 1
Pagosa Springs, CO 81147-8228
Phone
(970) 731-5566
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Walter Scott Moore, D.C.
Title
Owner
Phone
(970) 731-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1684 CO Primary

Addresses

Primary practice location

46 Eaton Dr Ste 1
Pagosa Springs, CO 81147-8228

Mailing address

46 Eaton Dr Ste 1
Pagosa Springs, CO 81147-8228
Phone (970) 731-5566

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1043480775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 EATON DR STE 1",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478228",
            "telephone_number": "970-731-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 EATON DR STE 1",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478228",
            "telephone_number": "970-731-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CHIROPRACTIC WELLNESS CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-731-5566",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.