Active NPI
Derek Moore, DC
- Chiropractor
- Delray Beach, FL
National Provider Identifier
1568829299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12096
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.