Sandra J Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009090 Issued in MI

Practice address

1877 N Getty St
Muskegon, MI 49445-8563

Phone

(231) 744-5200

Fax

(231) 744-9484

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakewinds Chiropractic Center PLCGroup PAC ID 9830292978, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lakewinds Chiropractic Center PLC

  • Chiropractor
  • Muskegon, MI
  • NPI 1043350549
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1285725523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 N GETTY ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494458563",
            "telephone_number": "231-744-5200",
            "fax_number": "231-744-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 N GETTY ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494458563",
            "telephone_number": "231-744-5200",
            "fax_number": "231-744-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalomi Momin, DDS
• Phillip Glenn Monroy, DDS MS
• Brandon Montgomery, DPT
• Kayla B Moore, MSW
• Rena Ann Moore, OTRL
• Sonja Moore
• Vivian Moore
• Erich Moorman
• Daniel Martin Moran
• Christian Morell

• Chiropractor in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.