Active NPI
Dane Royal Moore, DC
- Chiropractor
- Nipomo, CA
National Provider Identifier
1215297189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32282
- Practice address
- 150 Tejas PL
Nipomo, CA 93444-9123 - Phone
- (805) 931-2556
- Fax
- (805) 929-6440
- NPI assigned
- May 24, 2012
- Last updated
- Jun 29, 2012
- 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 | 32282 | CA | Primary |
Addresses
Primary practice location
150 Tejas PL
Nipomo, CA 93444-9123
Mailing address
7512 Morro Rd
Atascadero
Atascadero, CA 93422-4404
Phone (805) 792-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hemet Healthcare Surgicenter, Inc. | Past | Accepting new patients |
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.
-
- Ambulatory Surgical Clinic/Center
- Hemet, CA
- NPI 1982674065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1215297189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7512 MORRO RD",
"address_2": "ATASCADERO",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934224404",
"telephone_number": "805-792-1400",
"fax_number": "805-792-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 TEJAS PL",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934449123",
"telephone_number": "805-931-2556",
"fax_number": "805-929-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DANE",
"middle_name": "ROYAL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-24",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nipomo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.