Organization Active NPI

Michael J Moore DC Chiropractic Professional Corporation

Doing business as Moore Chiropractic Wellness Centrer

  • Chiropractor
  • Redding, CA
National Provider Identifier
1639145501
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
144460 Issued in CA
Legal business name
MICHAEL J MOORE DC CHIROPRACTIC PROFESSIONAL CORPORATION
Doing business as
Moore Chiropractic Wellness Centrer
Practice address
1825 Hartnell Ave
Redding, CA 96002-2252
Phone
(530) 221-4200
Fax
(530) 221-3146
NPI assigned
Feb 28, 2006
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Michael J Moore, DCNPI 1376733931
Title
President
Phone
(530) 221-4200

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 144460 CA Primary

Addresses

Primary practice location

1825 Hartnell Ave
Redding, CA 96002-2252

Mailing address

1825 Hartnell Ave
Redding, CA 96002-2252
Phone (530) 221-4200

Other names 1

  • Moore Chiropractic Wellness Centrer Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081112000770 CA Part B Supplier - Clinic/Group Practice 0547329005 Receives reassigned benefits from 1 practitioner
Practice locations: Redding, CA

National Provider Directory

National Provider Directory

Locations

1825 Hartnell Ave
Redding, CA 96002
Phone (530) 221-4200

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": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1639145501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022252",
            "telephone_number": "530-221-4200",
            "fax_number": "530-221-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022252",
            "telephone_number": "530-221-4200",
            "fax_number": "530-221-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J MOORE DC CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-221-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "144460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Chiropractic Wellness Centrer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.