Individual provider Active NPI

Rachel Aili Moore, D.C.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1619108917
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5260 Issued in MN
Practice address
2125 E Hennepin Ave Ste 300
Minneapolis, MN 55413-1763
Phone
(612) 750-7168
Fax
(612) 564-7373
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 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 5260 MN Primary

Addresses

Primary practice location

2125 E Hennepin Ave Ste 300
Minneapolis, MN 55413-1763

Mailing address

2125 E Hennepin Ave Ste 300
Minneapolis, MN 55413-1763
Phone (612) 750-7168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000274 MN Practitioner - Chiropractic 6800942467 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5260MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopkins Health and Wellness Center PA Chiropractor CurrentSince May 1, 2014 Accepting new patients
IHS Midwest PC Chiropractor PastSince Mar 1, 2011 Accepting new patients
Attune Chiropractic and Natural Health, PLLC Chiropractor Past Accepting new patients
Lelwica Chiropractic Chiropractor Past Accepting new patients
Lund Health Professional Corporation Chiropractor PastSince Nov 15, 2015 Accepting new patients
Belde Chiropractic Clinic, PA Chiropractor PastSince Nov 1, 2012 Accepting new patients
St Mary'S Regional Health Center Past Accepting new patients
Hermsen Health and Wellness, PLLC Chiropractor PastSince Jan 12, 2015 Accepting new patients

Locations

15 8th Ave N
Hopkins, MN 55343
Phone (952) 933-5085

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1619108917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 E HENNEPIN AVE STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131763",
            "telephone_number": "612-750-7168",
            "fax_number": "612-564-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E HENNEPIN AVE STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131763",
            "telephone_number": "612-750-7168",
            "fax_number": "612-564-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RACHEL",
        "middle_name": "AILI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.