Kevin Brian Moore, D.C..

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC002851L Issued in PA

Practice address

1004 Butler Ave
New Castle, PA 16101-4282

Phone

(724) 652-1772

Fax

(724) 652-0830

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Practice roles

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.

• Rose Point Chiropractic LLC

  • Chiropractor
  • New Castle, PA
  • NPI 1093249278
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255484036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 CUMBERLAND AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013439",
            "telephone_number": "724-652-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BUTLER AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014282",
            "telephone_number": "724-652-1772",
            "fax_number": "724-652-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KEVIN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C..",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002851L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "162843",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "V0813B",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000988170-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1648352",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Monico
• Michael David Montagna, D.M.D.
• Morgan Montgomery, PHARMD
• Carrie Lynn Montini, PT
• Katherine Renee Moore, MA, LPC
• Chad Christopher Morris, RPH
• Michael Duane Morrison
• Christian Mosebach, D.O.
• Erin Christine Moser, OTRL
• Rachel Ann Moser, D.P.T.

• Chiropractor in New Castle, PA
• Providers in New Castle, PA by specialty
• Chiropractor in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.