Organization Active NPI

Moore Chiropractic LLC

  • Chiropractor
  • Kirksville, MO
National Provider Identifier
1346591070
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2012016929 Issued in MO
Legal business name
MOORE CHIROPRACTIC LLC
Practice address
520 N Baltimore St
Kirksville, MO 63501-3214
Phone
(660) 988-1963
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Dr. Kale Moore, D.C.NPI 1164770707
Title
Sole Owner
Phone
(660) 988-1963

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2012016929 MO Primary

Addresses

Primary practice location

520 N Baltimore St
Kirksville, MO 63501-3214

Mailing address

520 N Baltimore St
Kirksville, MO 63501-3214
Phone (660) 988-1963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130212000099 MO Part B Supplier - Clinic/Group Practice 9133373574 Receives reassigned benefits from 1 practitioner
Practice locations: Kirksville, MO

National Provider Directory

National Provider Directory

Locations

1108 E Patterson St
Ste 8
Kirksville, MO 63501
Phone (660) 665-3370

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1346591070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013214",
            "telephone_number": "660-988-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013214",
            "telephone_number": "660-988-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KALE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "660-988-1963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012016929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.