NPIMap

Organization Active NPI

Timothy K Moore

  • Chiropractor
  • South Elgin, IL
National Provider Identifier
1316265689
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038004893 Issued in IL
Legal business name
TIMOTHY K MOORE
Practice address
1000 W Spring St
South Elgin, IL 60177-1466
Phone
(847) 742-8900
Fax
(847) 742-8905
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Timothy Kevin Moore, DC
Title
Owner
Phone
(847) 742-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038004893 IL Primary

Addresses

Primary practice location

1000 W Spring St
South Elgin, IL 60177-1466

Mailing address

40W417 Laura Ingalls Wilder Rd
Saint Charles, IL 60175-7552
Phone (847) 742-8900

Other names 1

  • Dr Timothy K Moore DC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1316265689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W417 LAURA INGALLS WILDER RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601757552",
            "telephone_number": "847-742-8900",
            "fax_number": "847-742-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771466",
            "telephone_number": "847-742-8900",
            "fax_number": "847-742-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY K MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-742-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Timothy K Moore DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.