Active NPI
David R. Moore, DC PC
- Chiropractor
- Clifton, NJ
National Provider Identifier
1639326945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00543200
- Legal business name
- DAVID R. MOORE, DC PC
- Doing business as
- On Track Chiropractic
- Practice address
- 850 Clifton Ave
Clifton, NJ 07013-1716 - Phone
- (973) 253-7005
- Fax
- (973) 246-9299
- NPI assigned
- Aug 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David R Moore, DC
- Title
- Owner
- Phone
- (973) 253-7005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00543200 | NJ | Primary |
Addresses
Primary practice location
850 Clifton Ave
Clifton, NJ 07013-1716
Mailing address
850 Clifton Ave
Clifton, NJ 07013-1716
Phone (973) 253-7005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2670926 | Other | NJ | OXFORD |
| 3735030 | Other | NJ | BLUE CROSS/BLUE SHIELD |
Other names 1
- On Track Chiropractic
National Provider Directory
National Provider DirectoryLocations
850 Clifton Ave
Clifton, NJ 07013
Phone (973) 253-7005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1639326945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131716",
"telephone_number": "973-253-7005",
"fax_number": "973-246-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131716",
"telephone_number": "973-253-7005",
"fax_number": "973-246-9299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID R. MOORE, DC PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-253-7005",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00543200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2670926",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "3735030",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "On Track Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.