Active NPI
Moore Chiropractic Family Center
- Chiropractor
- Danville, IL
National Provider Identifier
1063697662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38003799
- Legal business name
- MOORE CHIROPRACTIC FAMILY CENTER
- Practice address
- 425 N Gilbert St
Danville, IL 61832-5633 - Phone
- (217) 443-2400
- Fax
- (217) 443-4199
- NPI assigned
- Jan 2, 2008
- Last updated
- Jan 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terrance Wesley Moore, DC
- Title
- Chiropractor
- Phone
- (217) 443-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38003799 | IL | Primary |
Addresses
Primary practice location
425 N Gilbert St
Danville, IL 61832-5633
Mailing address
425 N Gilbert St
PO Box 495
Danville, IL 61832-5633
Phone (217) 443-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9215161 | Other | IL | BLUECROSSBLUESHIELD OF IL |
| 38003799 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
425 N Gilbert St
Danville, IL 61832
Phone (217) 443-2400
425 N Gilbert St
Ste C
Danville, IL 61832
Phone (217) 443-2400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1063697662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N GILBERT ST",
"address_2": "PO BOX 495",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618325633",
"telephone_number": "217-443-2400",
"fax_number": "217-443-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N GILBERT ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618325633",
"telephone_number": "217-443-2400",
"fax_number": "217-443-4199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORE CHIROPRACTIC FAMILY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "TERRANCE",
"authorized_official_middle_name": "WESLEY",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "217-443-2400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "38003799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF IL",
"identifier": "9215161",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38003799",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.