Dennis James Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC15679 Issued in CA

Practice address

1512 S Capitol Ave
San Jose, CA 95127-4543

Phone

(408) 929-2225

Fax

(408) 929-7200

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Marshall Medical Center

  • Family Medicine Physician
  • El Dorado Hills, CA
  • NPI 1114727377
  NPD (past)
• Richard Detwiler, M.D., Inc

  • Surgery Physician
  • Placerville, CA
  • NPI 1649489857
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093825481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 S CAPITOL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274543",
            "telephone_number": "408-929-2225",
            "fax_number": "408-929-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 S CAPITOL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274543",
            "telephone_number": "408-929-2225",
            "fax_number": "408-929-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DENNIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0156790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabine Melissa Tanya Mooney, MS RDN CSOWM
• Angela Moore, BCBA
• Anna Moore
• Anthony Moore, LMFT
• Archie Lee Moore Jr., MPT
• Diane Lynn Moore, MA, LMFT
• Haim Gal Moore, MD, MMSC
• Kendall Moore
• Kimberly Reiko Moore, MPT
• Livleen Moore

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.