NPIMap

Organization Active NPI

Moore Health SC

  • Chiropractor
  • South Elgin, IL
National Provider Identifier
1457560849
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038004893 Issued in IL
Legal business name
MOORE HEALTH SC
Practice address
1000 W Spring St
South Elgin, IL 60177-1466
Phone
(847) 742-8901
Fax
(847) 742-8905
NPI assigned
May 22, 2007
Organization subpart
Yes
Parent organization
SOUTH ELGIN CHIROPRACTIC ASSOCIATES, P.C.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Dr. Timothy K Moore, D.C.
Title
President
Phone
(847) 742-8900

Practitioners 26

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

View all 26

National Provider Directory

National Provider Directory
Part of
South Elgin Chiropractic Associates

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

1000 W Spring St
South Elgin, IL 60177-1466

Mailing address

1000 W Spring St
South Elgin, IL 60177-1466
Phone (847) 742-8901

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
038004893MedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 18, 2009.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1457560849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771466",
            "telephone_number": "847-742-8901",
            "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": "847-742-8901",
            "fax_number": "847-742-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE HEALTH SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH ELGIN CHIROPRACTIC ASSOCIATES, P.C.",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-742-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038004893",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 18, 2009; 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.