Individual provider Active NPI

Kristin Moore, D.C.

  • Chiropractor
  • Eagle, ID
National Provider Identifier
1457665135
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31734 Issued in CA
Practice address
3225 W Bavaria St Ste 101
Eagle, ID 83616-5547
Phone
(208) 884-8848
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC31734 CA Primary

Addresses

Primary practice location

3225 W Bavaria St Ste 101
Eagle, ID 83616-5547

Mailing address

3225 W Bavaria St Ste 101
Eagle, ID 83616-5547
Phone (208) 884-8848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206003598 ID Practitioner - Chiropractic 3173715703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

610 W Dreyfuss LN
Meridian, ID 83646-4725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellison Family Chiropractic Chiropractor CurrentSince Nov 24, 2025 Accepting new patients
Hans Freericks Chiropractic Corporation Chiropractor PastSince Sep 24, 2007 Accepting new patients
The Chiropractor at Castlebury Chiropractor PastSince Nov 24, 2025 Accepting new patients
Align Healing Center Maimone Chiropractic, Inc. Chiropractor PastSince Feb 1, 2020 Accepting new patients

Locations

3225 W Bavaria St
Ste 101
Eagle, ID 83616
Phone (208) 884-8848

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1457665135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 W BAVARIA ST STE 101",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165547",
            "telephone_number": "208-884-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 W BAVARIA ST STE 101",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165547",
            "telephone_number": "208-884-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.