Gloria Z. Moore D.C., P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH 6819 Issued in FL

Legal business name

GLORIA Z. MOORE D.C., P.A.

Practice address

101 Whitehall Dr
Suite 102
St Augustine, FL 32086-5268

Phone

(904) 794-0909

Fax

(904) 794-6700

NPI assigned

Feb 19, 2009

Last updated

Feb 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Z. Moore, D.C.NPI 1508814856

Title

President

Phone

(904) 794-0909

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Z. Moore, D.C.

  • Chiropractor
  • St Augustine, FL
  • NPI 1508814856
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1417196106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WHITEHALL DR",
            "address_2": "SUITE 102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865268",
            "telephone_number": "904-794-0909",
            "fax_number": "904-794-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WHITEHALL DR",
            "address_2": "SUITE 102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865268",
            "telephone_number": "904-794-0909",
            "fax_number": "904-794-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA Z. MOORE D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-794-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH 6819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508814856",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenmoor Opco Ventures, LLC
• William James Glenos II, D.M.D.
• Global Health Records, Inc.
• Sarah Glod
• Gloria Jean Lelaidier
• Rhiannon Gluhosky, DPT
• Eunice Martina Glynn, OTR/L
• Go Madd 4 Massage
• Stacia Larose Godboldt, CNM
• Deborah Jean Goddard, ARNP

• Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.