Active NPI
Ronald Moore, DC
- Chiropractor
- Rome, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0028611
- Practice address
- 203 W Thomas St
Rome, NY 13440-5007 - Phone
- (315) 337-0300
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X0028611 | NY | Primary |
Addresses
Primary practice location
203 W Thomas St
Rome, NY 13440-5007
Mailing address
203 W Thomas St
Rome, NY 13440-5007
Phone (315) 337-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
203 W Thomas St
Rome, NY 13440-5007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0028611 | NY | MD | Chiropractor |
| 1368 | OH | MD | Chiropractor |
| 002861 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald D Moore DC | Chiropractor | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Rome, NY
- NPI 1760650485
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205918570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 W THOMAS ST",
"city": "ROME",
"state": "NY",
"postal_code": "134405007",
"telephone_number": "315-337-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W THOMAS ST",
"city": "ROME",
"state": "NY",
"postal_code": "134405007",
"telephone_number": "315-337-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "RONALD",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0028611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, NY
Sources for this page
- 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.