Sarah A Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4800-12 Issued in WI

Practice address

1200 W Royal Lee Dr
Palmyra, WI 53156

Phone

(262) 495-6525

NPI assigned

Jun 6, 2011

Sex

Female

Sole proprietor

Yes

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.

• Moore Mobile Chiropractic SC

  • Chiropractor
  • Highland Park, IL
  • NPI 1598005662
  NPD Authorized official
• LGN LTD

  • Chiropractor
  • Gurnee, IL
  • NPI 1073693008
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

• Ms. Sarah A Hayes Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2018.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1225322332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W ROYAL LEE DR",
            "city": "PALMYRA",
            "state": "WI",
            "postal_code": "531569209",
            "telephone_number": "262-495-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W ROYAL LEE DR",
            "city": "PALMYRA",
            "state": "WI",
            "postal_code": "53156",
            "telephone_number": "262-495-6525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "658 Broadview Ave",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600354833",
            "country_code": "US",
            "telephone_number": "847-780-7331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SARAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC4204",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011940",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4800-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HAYES",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Connie Elisabeth Meyer, RN
• Kimberly Lynn Nations, RN
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• Palmyra Fire District
• Palmyra-Eagle Area School District
• Elizabeth Susan Reid, APNP

• All providers in Palmyra, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.