Moore & Menneto Chiropractic, PLLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH11081 Issued in FL

Legal business name

MOORE & MENNETO CHIROPRACTIC, PLLC

Practice address

3959 S Nova Rd
Ste 9
Port Orange, FL 32127

Phone

(386) 202-2714

Fax

(386) 202-2708

NPI assigned

Oct 2, 2017

Last updated

Oct 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela Moore, DCNPI 1073751830

Title

Partner

Phone

(479) 466-7717

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Angela Leigh Moore, D.C.

  • Chiropractor
  • Port Orange, FL
  • NPI 1073751830
  Medicare reassignment NPD Authorized official
• Danielle Nicole Menneto, D.C.

  • Chiropractor
  • Port Orange, FL
  • NPI 1659695583
  Medicare reassignment NPD

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1215447438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 VINTAGE LANE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32128",
            "telephone_number": "386-202-2714",
            "fax_number": "386-202-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD",
            "address_2": "STE 9",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-202-2714",
            "fax_number": "386-202-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE & MENNETO CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "479-466-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9865",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH11081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Mokres
• Monsour Weaver Leb PA
• Yashira F. M. Montalvo Rodriguez, DC
• Regina Montgomery
• Taylor Montgomery, ARNP
• Moore Chiropractic, PLLC
• Angela Leigh Moore, D.C.
• Cynthia Moore
• Katherine Rose Moore, PT, DPT
• Sidney Celine Moore, PHYSICIAN ASSISTANT

• Sports Physician Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.