Active NPI
Sarah Jean Galle Moore, D.C.
- Chiropractor
- Indian Trail, NC
National Provider Identifier
1225261233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4902
- Practice address
- 14015 E Independence Blvd Ste D
Indian Trail, NC 28079-9668 - Phone
- (704) 882-1488
- Fax
- (704) 882-1448
- NPI assigned
- Aug 25, 2009
- Last updated
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3403 | SC | |
| Chiropractor | 111N00000X | 4902 | NC | Primary |
| Chiropractor | 111N00000X | 038.011494 | IL |
Addresses
Primary practice location
14015 E Independence Blvd Ste D
Indian Trail, NC 28079-9668
Mailing address
5007 Eddystone LN
Monroe, NC 28110-6312
Phone (843) 754-7301
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4902 | NC | MD | Professional Counselor |
| 038.011494 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Trail Specific Chiropractic Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19185/brand/1/csg/1/fhir/r4
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.
-
dba Carolinas Family Spine Center
- Thermography Chiropractor
- Indian Trail, NC
- NPI 1073528899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1225261233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 EDDYSTONE LN",
"city": "MONROE",
"state": "NC",
"postal_code": "281106312",
"telephone_number": "843-754-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015 E INDEPENDENCE BLVD STE D",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280799668",
"telephone_number": "704-882-1488",
"fax_number": "704-882-1448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SARAH",
"middle_name": "JEAN GALLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3403",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4902",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Trail, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.