Individual provider Active NPI

Derek Moore, DC

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1568829299
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12096 Issued in FL
Practice address
401 W Atlantic Ave Unit 14
Delray Beach, FL 33444
Phone
(561) 330-6096
NPI assigned
Jan 26, 2016
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12096 FL Primary

Addresses

Primary practice location

401 W Atlantic Ave Unit 14
Delray Beach, FL 33444

Mailing address

1600 S Federal Hwy
Ste 451
Pompano Beach, FL 33062-7525
Phone (401) 316-1940

Other practice location 1

1444 I St NW
Suite LL
Washington, DC 20005-2210
Phone (202) 363-1011

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL thecondecenter.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1568829299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S FEDERAL HWY",
            "address_2": "STE 451",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627525",
            "telephone_number": "401-316-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ATLANTIC AVE UNIT 14",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33444",
            "telephone_number": "561-330-6096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1444 I St NW",
            "address_2": "Suite LL",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200052210",
            "country_code": "US",
            "telephone_number": "202-363-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEREK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-26",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thecondecenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 W Atlantic Ave Unit 14",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334443689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.