Organization Active NPI

Moore Mobile Chiropractic SC

  • Chiropractor
  • Highland Park, IL
National Provider Identifier
1598005662
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011940 Issued in IL
Legal business name
MOORE MOBILE CHIROPRACTIC SC
Practice address
658 Broadview Ave
Highland Park, IL 60035-4833
Phone
(847) 780-7331
NPI assigned
Feb 26, 2013
Last updated
Aug 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Sarah A Moore, DCNPI 1225322332
Title
Chiropractor
Phone
(513) 313-0660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011940 IL Primary

Addresses

Primary practice location

658 Broadview Ave
Highland Park, IL 60035-4833

Mailing address

658 Broadview Ave
Highland Park, IL 60035-4833
Phone (847) 780-7331

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1598005662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 BROADVIEW AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354833",
            "telephone_number": "847-780-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 BROADVIEW AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354833",
            "telephone_number": "847-780-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE MOBILE CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "513-313-0660",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.