Justin Trent Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10125 Issued in TX

Practice address

13925 Northwest Blvd
Corpus Christi, TX 78410-5118

Phone

(361) 767-3300

Fax

(361) 767-3320

NPI assigned

Aug 5, 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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154330884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 NORTHWEST BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105118",
            "telephone_number": "361-767-3300",
            "fax_number": "361-767-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 NORTHWEST BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105118",
            "telephone_number": "361-767-3300",
            "fax_number": "361-767-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JUSTIN",
        "middle_name": "TRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamar King Moody
• Aaron Thomas Moon, M.D.
• Caleb Thomas Moon
• Charles Henry Moore, D.D.S.
• Jacob Jackson Moore, M.D.
• Linden Moore
• Margie Moore, CPNP
• Paul F. Moore Jr., PA-C
• Tristian Moore
• Moores Pharmacy Inc

• Chiropractor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.