Individual provider Active NPI

Terry Wayne Moore, D.C.

  • Chiropractor
  • Baytown, TX
National Provider Identifier
1225045891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4489 Issued in TX
Practice address
507 Rollingbrook St
Baytown, TX 77521-4036
Phone
(281) 422-8811
Fax
(281) 422-5372
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4489 TX Primary

Addresses

Primary practice location

507 Rollingbrook St
Baytown, TX 77521-4036

Mailing address

507 Rollingbrook St
Baytown, TX 77521-4036
Phone (281) 422-8811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000729 TX Practitioner - Chiropractic 6406909860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

507 Rollingbrook Dr
Baytown, TX 77521-4036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4489TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Health Center CurrentSince Dec 1, 1986 Accepting new patients
Healthready, Inc. PastSince May 31, 2007 Accepting new patients
Trinity Family Medical, PLLC PastSince Jun 28, 2020 Accepting new patients

Locations

507 Rollingbrook Dr
Baytown, TX 77521
Phone (281) 420-5548

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225045891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 ROLLINGBROOK ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214036",
            "telephone_number": "281-422-8811",
            "fax_number": "281-422-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 ROLLINGBROOK ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214036",
            "telephone_number": "281-422-8811",
            "fax_number": "281-422-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TERRY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

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.

Verify at the official NPI Registry.