Individual provider Active NPI

Debbie L Moore, DC, LAC

  • Chiropractor
  • Carriere, MS
National Provider Identifier
1386701944
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1118 Issued in MS
Practice address
6682 Highway 11 N
Suite 103
Carriere, MS 39426-7554
Phone
(601) 749-4939
Fax
(769) 301-1641
NPI assigned
Jan 3, 2007
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1878 LA
Chiropractor 111N00000X 1437 LA
Chiropractor 111N00000X 1118 MS Primary
Acupuncturist 171100000X AC0003 MS
Acupuncturist 171100000X AC00720 TX
Rehabilitation Chiropractor 111NR0400X 1437 LA
Rehabilitation Chiropractor 111NR0400X 000118 MS

Addresses

Primary practice location

6682 Highway 11 N
Suite 103
Carriere, MS 39426-7554

Mailing address

PO Box 326
Picayune, MS 39466-0326
Phone (601) 749-4939

Other practice location 1

121 Front St
Purvis, MS 39475
Phone (601) 749-4939

Other practice location 2

2737 Oak Grove Rd
Hattiesburg, MS 39402-8946
Phone (601) 749-4939

Other practice location 3

203 W Main Ave
Lumberton, MS 39455-2527
Phone (601) 749-4939

Other identifiers 1

IdentifierTypeStateIssuer
09088559MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080131000046 MS Practitioner - ChiropracticPractitioner - Other (Physician) 3072695956 Reassigns benefits to 2 organizations
I20230516002269 LA Practitioner - Chiropractic 3072695956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Gause Blvd
Suite C7
Slidell, LA 70458-3041
Phone (601) 749-4939

2737 Oak Grove Rd
Hattiesburg, MS 39402-8946
Phone (601) 749-4939

6682 Hwy 11
Suite 103
Carriere, MS 39426-7992
Phone (601) 749-4939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1437LAMDAddiction (Substance Use Disorder) Counselor
1878LAMDMental Health Counselor
000118MSMDRehabilitation Chiropractor
AC0003MSMDAcupuncturist
AC00720TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
D. L. Moore & Associates, Inc Chiropractor CurrentSince Sep 11, 2007 Accepting new patients
Moore Chiropractic Clinic LLC Chiropractor CurrentSince May 1, 2023 Accepting new patients
D. L. Moore & Associates, Inc Chiropractor CurrentSince Sep 11, 2007 Accepting new patients
Moore Chiropractic Clinic Hattiesburg PLLC Chiropractor CurrentSince Jul 8, 2019 Accepting new patients

Locations

1300 Gause Blvd
Ste C7
Slidell, LA 70458
Phone (601) 749-4939

6682 Highway 11
Ste 103
Carriere, MS 39426
Phone (601) 749-4939

2737 Oak Grove Rd
Hattiesburg, MS 39402
Phone (601) 336-7253

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1386701944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394660326",
            "telephone_number": "601-749-4939",
            "fax_number": "601-748-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6682 HIGHWAY 11 N",
            "address_2": "SUITE 103",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394267554",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Front St",
            "address_purpose": "LOCATION",
            "city": "Purvis",
            "state": "MS",
            "postal_code": "39475",
            "country_code": "US",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2737 Oak Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394028946",
            "country_code": "US",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 W Main Ave",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "MS",
            "postal_code": "394552527",
            "country_code": "US",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEBBIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1878",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1437",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1118",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MS",
            "license": "AC0003",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00720",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "LA",
            "license": "1437",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MS",
            "license": "000118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09088559",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carriere, MS

Sources for this page

Verify at the official NPI Registry.