Individual provider Active NPI

Taylor Moore, DC

  • Chiropractor
  • Los Altos, CA
National Provider Identifier
1104481951
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34428 Issued in CA
Practice address
851 Fremont Ave Ste 111
Los Altos, CA 94024-5602
Phone
(217) 891-7278
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34428 CA Primary

Addresses

Primary practice location

851 Fremont Ave Ste 111
Los Altos, CA 94024-5602

Mailing address

851 Fremont Ave Ste 111
Los Altos, CA 94024-5602
Phone (217) 891-7278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903000339 CA Practitioner - Chiropractic 8628307550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

851 Fremont Ave
Suite 111
Los Altos, CA 94024-5602
Phone (650) 917-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34428CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor M. Moore Chiropractic Corporation Chiropractor CurrentSince Jul 1, 2019 Accepting new patients

Locations

851 Fremont Ave
Ste 111
Los Altos, CA 94024
Phone (650) 787-5570

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1104481951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE STE 111",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245602",
            "telephone_number": "217-891-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE STE 111",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245602",
            "telephone_number": "217-891-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.