Stephan Christopher Mancil Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05758 Issued in KS

Practice address

510 E 17TH Ave
Suite B
Hutchinson, KS 67501-5566

Phone

(620) 960-3555

NPI assigned

Nov 25, 2015

Last updated

Nov 25, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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 KS

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moore and Webb Chiropractic LLCGroup PAC ID 8022309426, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 & Webb Chiropractic LLC

  • Chiropractor
  • Hutchinson, KS
  • NPI 1548625932
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1184098386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 17TH AVE",
            "address_2": "SUITE B",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E 17TH AVE",
            "address_2": "SUITE B",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015566",
            "telephone_number": "620-960-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEPHAN",
        "middle_name": "CHRISTOPHER MANCIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Sean Monroe, PA-C
• Sue Ann Montgomery, PHD, LCMFT, LCAC
• Taylor M Moody, LPC
• Moore & Webb Chiropractic LLC
• Amanda Moore, PA
• Wade Kyle Moore
• Andrea Lyn Morgan, DNP, APRN
• Keta L Morgan, CNA
• Kimberley A Morgan, PA-C
• Ginger Morrell

• Chiropractor in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.