Active NPI
Kristin Moore, D.C.
- Chiropractor
- Eagle, ID
National Provider Identifier
1457665135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31734
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellison Family Chiropractic | Chiropractor | Current | Accepting new patients |
| Hans Freericks Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
| The Chiropractor at Castlebury | Chiropractor | Past | Accepting new patients |
| Align Healing Center Maimone Chiropractic, Inc. | Chiropractor | Past | 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.
-
- Chiropractor
- Eagle, ID
- NPI 1508188400
-
- Chiropractor
- Eagle, ID
- NPI 1063903359
-
- Chiropractor
- Danville, CA
- NPI 1376001826
-
- Chiropractor
- Fremont, CA
- NPI 1356468250
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.