Jennifer Moore DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009037 Issued in IL

Legal business name

JENNIFER MOORE DC INC

Practice address

3538 Ridge Rd
Lansing, IL 60438-3315

Phone

(708) 895-4444

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer June Moore, D.C.NPI 1922099894

Title

Dr. of Chiropractic

Phone

(708) 895-4444

Specialties & licenses 1

Addresses

Other names 1

• Atlas Family Chiropractic Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Jennifer J Moore, DO

  • Chiropractor
  • Lansing, IL
  • NPI 1922099894
  Medicare reassignment NPD Authorized official
• Tracy Lyn Vandrunen, LMT

  • Massage Therapist
  • Lansing, IL
  • NPI 1891370508
  NPD

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1629258587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 RIDGE RD",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383315",
            "telephone_number": "708-895-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 RIDGE RD",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383315",
            "telephone_number": "708-895-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MOORE DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "DR. OF CHIROPRACTIC",
        "authorized_official_telephone_number": "708-895-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Family Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Earl Major
• James Earl Major
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• Deborah Lubertha Jellema, L.C.P.C., L.M.H.C.
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• Alkansas Lynn Johnson, PHLEBOTOMIST
• Tiaira M Johnson
• Latina D Jones, RBT

• Chiropractor in Lansing, IL
• Providers in Lansing, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.