Organization Active NPI

Chiropractic Arts Center of Moore

  • Chiropractor
  • Moore, OK
National Provider Identifier
1215001847
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3639 Issued in OK
Legal business name
CHIROPRACTIC ARTS CENTER OF MOORE
Practice address
804 NE 23Rd St
Moore, OK 73160-8976
Phone
(405) 794-5000
Fax
(405) 794-5003
NPI assigned
Nov 17, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Kyle Whitten Muse, DCNPI 1801837992
Title
Owner
Phone
(405) 794-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3587 OK
Chiropractor 111N00000X 3639 OK Primary
Chiropractor 111N00000X 3248 OK
Chiropractor 111N00000X 1616 OK

Addresses

Primary practice location

804 NE 23Rd St
Moore, OK 73160-8976

Mailing address

804 NE 23Rd St
Moore, OK 73160-8976
Phone (405) 794-5000

Other identifiers 1

IdentifierTypeStateIssuer
800522174OtherOKMEDICARE GROUP PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081111000051 OK Part B Supplier - Clinic/Group Practice 7416016118 Receives reassigned benefits from 2 practitioners
Practice locations: Moore, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1215001847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 NE 23RD ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731608976",
            "telephone_number": "405-794-5000",
            "fax_number": "405-794-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 NE 23RD ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731608976",
            "telephone_number": "405-794-5000",
            "fax_number": "405-794-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC ARTS CENTER OF MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "MUSE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WHITTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-794-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3587",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3639",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3248",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "1616",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER NUMBER",
            "identifier": "800522174",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.