Active NPI
Moore Chiropractic, PLLC
- Rehabilitation Chiropractor
- Olympia, WA
National Provider Identifier
1205247749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH 60092035
- Legal business name
- MOORE CHIROPRACTIC, PLLC
- Practice address
- 221 Kenyon St NW Ste 201
221 Kenyon St NW Ste 201
Olympia, WA 98502-4552 - Phone
- (360) 352-0211
- Fax
- (360) 352-6226
- NPI assigned
- May 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Robin Houde
- Title
- Office Manager
- Phone
- (360) 352-0211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH 60092035 | WA | Primary |
Addresses
Primary practice location
221 Kenyon St NW Ste 201
221 Kenyon St NW Ste 201
Olympia, WA 98502-4552
Mailing address
1401 Marvin Rd NE
Lacey, WA 98516-5749
Phone (360) 491-5055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821220369 | Medicaid | WA |
National Provider Directory
National Provider Directory- Tax ID family
- Moore Chiropractic PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Massage Therapist
- Olympia, WA
- NPI 1407267834
-
- Rehabilitation Chiropractor
- Olympia, WA
- NPI 1669883021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400457600000",
"number": "1205247749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 MARVIN RD NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985165749",
"telephone_number": "360-491-5055",
"fax_number": "360-491-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 KENYON ST NW STE 201",
"address_2": "221 KENYON ST NW STE 201",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985024552",
"telephone_number": "360-352-0211",
"fax_number": "360-352-6226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORE CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A",
"authorized_official_last_name": "HOUDE",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "360-352-0211",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "WA",
"license": "CH 60092035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821220369",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.