Warren M. Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIC365 Issued in AK

Practice address

515 7TH Ave Ste 230
Fairbanks, AK 99701-4949

Phone

(907) 456-4234

Fax

(907) 451-9168

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Spaulding Chiropractic Clinic IncGroup PAC ID 1658263413, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spaulding Chiropractic Clinic Inc

  • Chiropractor
  • Fairbanks, AK
  • NPI 1437273125
  Medicare reassignment Care Compare group NPD Authorized official
• John Hickey PC

  • Chiropractor
  • Boise, ID
  • NPI 1114536794
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1225123573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 7TH AVE STE 230",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014949",
            "telephone_number": "907-456-4234",
            "fax_number": "907-451-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 7TH AVE STE 230",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014949",
            "telephone_number": "907-456-4234",
            "fax_number": "907-451-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WARREN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA933",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "CHIC365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004390",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Jo Moore
• Eun Jung Moore, LPN
• Kathleen Diane Moore
• Stacy Moore
• Stephen Michael Moore
• Madeleine Morales-Stanley
• Dinah Lucinda Morales
• Justin Morales
• Holly Nichole Morden
• Kevin Morden

• Chiropractor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.