John Robert Moore, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2017025313 Issued in MO

Practice address

2534 Highway K
O Fallon, MO 63368-6625

Phone

(636) 978-5511

NPI assigned

Jul 19, 2017

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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back Pain Center LLCGroup PAC ID 5698874154, 6 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Back Pain Center LLC

  • Chiropractor
  • O Fallon, MO
  • NPI 1538384763
  Medicare reassignment Care Compare group NPD
• Cowser Spine and Sport

  • Chiropractor
  • O Fallon, MO
  • NPI 1942196985
  NPD (past)
• Jake Schmitz Chiropractic LLC

  • Chiropractor
  • O Fallon, MO
  • NPI 1467053918
  NPD (past)

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114440310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686625",
            "telephone_number": "636-978-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686625",
            "telephone_number": "636-978-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2017025313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Monahan
• Sherry D Moody
• Jeffrey P Moomey, RNFA
• Thomas Francis Mooney III, DDS, MDS
• Moore Transport of Ofallon LLC
• Lauren Rose Moore, M.S.
• Timothy D Moore, D.O.
• Valentina J Moore, FNP-C
• William Moran
• Jamie Marie Moravec, PA-C

• Chiropractor in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.