Angela Leigh Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11081 Issued in FL

Practice address

3751 S Clyde Morris Blvd Unit 7
Port Orange, FL 32129-2356

Phone

(479) 466-7717

NPI assigned

Jan 30, 2009

Last updated

May 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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 & Menneto Chiropractic, PLLC

  • Sports Physician Chiropractor
  • Port Orange, FL
  • NPI 1215447438
  Medicare reassignment NPD Authorized official
• Moore Chiropractic, PLLC

  • Chiropractor
  • Port Orange, FL
  • NPI 1811374176
  Authorized official Same address or phone
• Dr. Angela Moore Family Chiropractic, P.L.C.

  • Chiropractor
  • Lowell, AR
  • NPI 1407094220
  Authorized official Same address or phone
• GD Chiropractic and Massage LLC

  • Clinic/Center
  • Port Orange, FL
  • NPI 1437938776
  NPD

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1073751830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 S CLYDE MORRIS BLVD UNIT 7",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292356",
            "telephone_number": "479-466-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 S CLYDE MORRIS BLVD UNIT 7",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292356",
            "telephone_number": "479-466-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANGELA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11081",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yashira F. M. Montalvo Rodriguez, DC
• Regina Montgomery
• Taylor Montgomery, ARNP
• Moore & Menneto Chiropractic, PLLC
• Moore Chiropractic, PLLC
• Cynthia Moore
• Katherine Rose Moore, PT, DPT
• Sidney Celine Moore, PHYSICIAN ASSISTANT
• Vijay J Moradia, MD
• Carla Cantinho Morales, LMHC

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.