Organization Active NPI

Moore Chiropractic Center

  • Chiropractor
  • Denton, TX
National Provider Identifier
1205961463
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5766 Issued in TX
Legal business name
MOORE CHIROPRACTIC CENTER
Practice address
707 Sunset St
Denton, TX 76201-2668
Phone
(940) 383-9399
Fax
(940) 566-8630
NPI assigned
Feb 21, 2007
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. J Kenneth Moore, D.C.NPI 1720068026
Title
Owner
Phone
(940) 383-9399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5766 TX Primary

Addresses

Primary practice location

707 Sunset St
Denton, TX 76201-2668

Mailing address

707 Sunset St
Denton, TX 76201-2668
Phone (940) 383-9399

Other identifiers 4

IdentifierTypeStateIssuer
088445401MedicaidTX
0005MSOtherTXBCBS GROUP PIN
175172901MedicaidTX
8S3560OtherTXBCBS PIN

National Provider Directory

National Provider Directory

Locations

505 W University Dr
Denton, TX 76201
Phone (940) 383-9399

707 Sunset St
Denton, TX 76201
Phone (940) 383-9399

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1205961463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SUNSET ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012668",
            "telephone_number": "940-383-9399",
            "fax_number": "940-566-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SUNSET ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012668",
            "telephone_number": "940-383-9399",
            "fax_number": "940-566-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-383-9399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088445401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "0005MS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175172901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "8S3560",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.