Individual provider Active NPI

Amanda Renee Moore, D.C.

  • Chiropractor
  • Colleyville, TX
National Provider Identifier
1063590990
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10454 Issued in TX
Practice address
1314 Hardage LN
Colleyville, TX 76034-6014
Phone
(817) 424-3774
Fax
(817) 424-3398
NPI assigned
Nov 1, 2006
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10454 TX Primary

Addresses

Primary practice location

1314 Hardage LN
Colleyville, TX 76034-6014

Mailing address

4008 Gateway Dr Ste 180
Colleyville, TX 76034-7916
Phone (817) 571-9700

Other names 1

  • Amanda Renee Hyde Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL akela5@hotmail.com

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Abundant Life Chiropractic LLC Chiropractor Past Accepting new patients
Lecroy Family Medicine PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1063590990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 GATEWAY DR STE 180",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347916",
            "telephone_number": "817-571-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 HARDAGE LN",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346014",
            "telephone_number": "817-424-3774",
            "fax_number": "817-424-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "akela5@hotmail.com",
            "affiliation": "N",
            "address_1": "4008 Gateway Dr.",
            "address_2": "Suite 180",
            "city": "Colleyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HYDE",
            "middle_name": "RENEE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.