Jill Moore LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03572 Issued in MD

Legal business name

JILL MOORE LLC

Practice address

1229 Hickory Brook CT
Bel Air, MD 21014-1865

Phone

(410) 638-8006

Fax

(410) 638-8711

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Jill Moore, DCNPI 1124266101

Title

President

Phone

(410) 790-8524

Specialties & licenses 1

Addresses

Other names 1

• Live Well Family Chiropractic Doing business as

Tax ID family

Jill Moore LLC2 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.

• Jill Moore LLC

  • Chiropractor
  • Bel Air, MD
  • NPI 1730328048
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Moore, DC

  • Chiropractor
  • Bel Air, MD
  • NPI 1124266101
  NPD (past) Authorized official

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1285064337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 HICKORY BROOK CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210141865",
            "telephone_number": "410-638-8006",
            "fax_number": "410-638-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 HICKORY BROOK CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210141865",
            "telephone_number": "410-638-8006",
            "fax_number": "410-638-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL MOORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-790-8524",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sallyann Jennings, MS RN CS P
• Christina Jensema, PSY.D.
• Linda Marie Jensen
• Sara Jesse
• Jet-Ips Inc
• Jill Moore LLC
• Jodi Wayne, LCSW-C, LLC
• Lauren Joeckel, MA, LCPC, CRC, ICADC
• John Gian MD LLC
• John J Davidson DC PA

• Chiropractor in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.