Randy E Moore, DC RDMSCRMSK

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

12108828-1202 Issued in UT

Practice address

758 W 100 S
Heber City, UT 84032-3739

Phone

(513) 708-0585

Fax

(435) 915-7223

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1386213551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 W 100 S",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323739",
            "telephone_number": "513-708-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 W 100 S",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323739",
            "telephone_number": "513-708-0585",
            "fax_number": "435-915-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RANDY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC RDMSCRMSK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "UT",
            "license": "12108828-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "12108828-1202",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "parkcityprptherapy.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "758 W 100 S",
            "city": "Heber City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840323739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shawn M Miller, PH. D.
• Christian H Monson, PSYD
• Michael Mark Monson, O.D.
• Brittany Gale Moore, FNP-C
• Carrie Moore, LMHC
• Melanie D. Morgan, ACMHC
• Tanner Lloyd Morgan, SSW
• Mountain View Family Eyecare PLLC
• Luz Moyer
• Samuel Vinent Murphy, DPT

• Independent Medical Examiner Chiropractor in Heber City, UT
• Providers in Heber City, UT by specialty
• Independent Medical Examiner Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.