NPIMap

Organization Active NPI

Jason a. Moore, D.C. PLLC

  • Health Service Clinic/Center
  • Huntington, WV
National Provider Identifier
1316168271
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
819 Issued in WV
Legal business name
JASON A. MOORE, D.C. PLLC
Practice address
2511 3Rd Ave
Huntington, WV 25703-1614
Phone
(304) 523-7891
Fax
(304) 523-7894
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Dr. Jason Alan Moore, D.C.NPI 1871667691
Title
Chiropractor
Phone
(304) 523-7891

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
Health Service Clinic/Center 261QH0100X 819 WV Primary

Addresses

Primary practice location

2511 3Rd Ave
Huntington, WV 25703-1614

Mailing address

2511 3Rd Ave
Huntington, WV 25703-1810
Phone (304) 523-7891

Other identifiers 2

IdentifierTypeStateIssuer
003810001016MedicaidWV
001767587OtherWVBLUE CROSS BLUE SHIELD

Other names 1

  • Huntington Chiropractic Accident & Injury Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051017000960 WV Part B Supplier - Clinic/Group Practice 7416973680 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, WV

National Provider Directory

National Provider Directory

Locations

900 20th St
Huntington, WV 25703
Phone (681) 378-3908

2511 3rd Ave
Huntington, WV 25703
Phone (304) 522-7333

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1316168271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031810",
            "telephone_number": "304-523-7891",
            "fax_number": "304-523-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031614",
            "telephone_number": "304-523-7891",
            "fax_number": "304-523-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A. MOORE, D.C. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "304-523-7891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WV",
            "license": "819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003810001016",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001767587",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Chiropractic Accident & Injury Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.