Tracer D Moore, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16175 Issued in AR

Practice address

2925 W Walnut St
Rogers, AR 72756-0338

Phone

(479) 636-6609

Fax

(479) 636-7725

NPI assigned

Oct 13, 2017

Last updated

Oct 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devin Moore Chiropractic PLLC

  • Chiropractor
  • Rogers, AR
  • NPI 1689927204
  NPD (past)
• Kent Moore Chiropractic, P.a.

  • Chiropractor
  • Rogers, AR
  • NPI 1154526788
  NPD (past)

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1508377862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560338",
            "telephone_number": "479-636-6609",
            "fax_number": "479-636-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560338",
            "telephone_number": "479-636-6609",
            "fax_number": "479-636-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TRACER",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brody Moore, LPN
• Devin Moore, D.C.
• Jeffrey 'Kent' Moore, D.C.
• Monte Clayton Moore, CRNA
• Rachael Lauren Moore, PTA
• Malorie Moreland
• Traci Juliann Moreland, MHPP
• Christina Morgan
• Haley Meagan Morgan
• Megan Von Gremp Morgan, ANP

• Chiropractor in Rogers, AR
• Providers in Rogers, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.