Organization Active NPI

David R. Moore, DC PC

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1639326945
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00543200 Issued in NJ
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

Updated by the provider on Aug 19, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
P2670926OtherNJOXFORD
3735030OtherNJBLUE CROSS/BLUE SHIELD

Other names 1

  • On Track Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.