Patrick Dale Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001595 Issued in IN

Practice address

8258 Rockville Road
Indianapolis, IN 46214-0000

Phone

(317) 429-5400

Fax

(317) 429-5401

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chiro Link Unlimited

  • Chiropractor
  • Terre Haute, IN
  • NPI 1689619892
  NPD (past)
• Travis Howard North, Inc

  • Chiropractor
  • Terre Haute, IN
  • NPI 1063664555
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1487725487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E MARKET ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331817",
            "telephone_number": "765-362-1500",
            "fax_number": "765-361-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 ROCKVILLE ROAD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462140000",
            "telephone_number": "317-429-5400",
            "fax_number": "317-429-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PATRICK",
        "middle_name": "DALE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000344411",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5288041",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200043740A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201466872",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "201466872100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Grace Moore
• Meredith Kaye Moore, LMHC-A
• Michael Geoffrey Moore, M.D.
• Nieka Moore
• Patricia S Moore, STAFF NURSE
• Patryce Jeanale Moore
• Patty Lynn Moore, LCSW
• Polly Anne Moore, MD
• Priscilla Hope Moore
• Reilin James Moore, M.D.

• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.