Individual provider Active NPI

Robert W. Moore, DC

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1558466862
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC12483 Issued in CA
Practice address
4950 Barranca Pkwy 203
Irvine, CA 92604-4687
Phone
(949) 653-6777
Fax
(949) 653-9951
NPI assigned
Sep 13, 2006
Last updated
Oct 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC12483 CA Primary

Addresses

Primary practice location

4950 Barranca Pkwy 203
Irvine, CA 92604-4687

Mailing address

4950 Barranca Pkwy 203
Irvine, CA 92604-4687
Phone (949) 653-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12483CAMDAddiction (Substance Use Disorder) Counselor
DC12483CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Parvin Shafa M D Inc Past Accepting new patients
Moore Spine Center& Chiropractic Services Chiropractor PastSince Dec 1, 1998 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1558466862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY 203",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044687",
            "telephone_number": "949-653-6777",
            "fax_number": "949-653-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY 203",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044687",
            "telephone_number": "949-653-6777",
            "fax_number": "949-653-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "name_prefix": "Miss",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.