NPIMap

Organization Active NPI

D. L. Moore & Associates, Inc

Doing business as Moore Chiropractic Clinic

  • Chiropractor
  • Carriere, MS
National Provider Identifier
1235319567
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1118 Issued in MS
Legal business name
D. L. MOORE & ASSOCIATES, INC
Doing business as
Moore Chiropractic Clinic
Practice address
6682 Highway 11 N
Suite 103
Carriere, MS 39426-7554
Phone
(601) 749-4939
Fax
(769) 301-1641
NPI assigned
Nov 3, 2007
Last updated
Nov 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Authorized official

Name
Debbie MooreNPI 1386701944
Title
President/Owner
Phone
(601) 749-4939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1118 MS Primary

Addresses

Primary practice location

6682 Highway 11 N
Suite 103
Carriere, MS 39426-7554

Mailing address

PO Box 326
Picayune, MS 39466-0326
Phone (601) 749-4939

Other identifiers 1

IdentifierTypeStateIssuer
09385281MedicaidMS

Other names 1

  • Moore Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080131000033 MS Part B Supplier - Clinic/Group Practice 3173605052 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Carriere, MS; Purvis, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
D L Moore Associates in2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6682 Highway 11
Ste 103
Carriere, MS 39426
Phone (601) 749-4939

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1235319567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394660326",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6682 HIGHWAY 11 N",
            "address_2": "SUITE 103",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394267554",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. L. MOORE & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-03",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "601-749-4939"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09385281",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moore Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carriere, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.