Active NPI
Wayne Walter Moore, D.C.
- Orthopedic Chiropractor
- Gig Harbor, WA
National Provider Identifier
1649252180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- CH00001805
- Practice address
- 7116 Stinson Ave
Gig Harbor, WA 98335-1100 - Phone
- (253) 858-9880
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | CH00001805 | WA | Primary |
Addresses
Primary practice location
7116 Stinson Ave
Gig Harbor, WA 98335-1100
Mailing address
7116 Stinson Ave
Gig Harbor, WA 98335-1100
Phone (253) 858-9880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00001805 | WA | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649252180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7116 STINSON AVE",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351100",
"telephone_number": "253-858-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7116 STINSON AVE",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351100",
"telephone_number": "253-858-9880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "WAYNE",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "WA",
"license": "CH00001805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.