Moore Abundant Life Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10451 Issued in TX

Legal business name

MOORE ABUNDANT LIFE CHIROPRACTIC LLC

Practice address

4008 Gateway Dr
Suite 180
Colleyville, TX 76034-7914

Phone

(817) 571-9700

Fax

(817) 358-0219

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason Nicholas Moore, D.C.NPI 1396823084

Title

Owner

Phone

(817) 358-0209

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Nicholas Moore, D.C.

  • Nutrition Chiropractor
  • Colleyville, TX
  • NPI 1396823084
  NPD (past) Authorized official
• Alexia Denice Grantland, D.C.

  • Chiropractor
  • Colleyville, TX
  • NPI 1700944980
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1598944779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 GATEWAY DR",
            "address_2": "SUITE 180",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347914",
            "telephone_number": "817-571-9700",
            "fax_number": "817-358-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 GATEWAY DR",
            "address_2": "SUITE 180",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347914",
            "telephone_number": "817-571-9700",
            "fax_number": "817-358-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE ABUNDANT LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-358-0209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0067QG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "613000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole Modlin, MA
• Rashad Mohamed Riazuddin, MD
• Denisa Mohr, LPC
• Arturo J Molina, LPC
• Madeleine Moon
• Alexis Moore
• Amanda Renee Moore, D.C.
• Jason Nicholas Moore, D.C.
• Robert E Moore, MD
• Stacey E Moore

• Chiropractor in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.