William Moore III, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5609 Issued in OR

Practice address

2900 NE 132ND Ave
Portland, OR 97230-3014

Phone

(503) 260-3204

NPI assigned

Mar 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Opdahl Chiropractic Office Inc.Group PAC ID 7810973104, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Opdahl Chiropractic Office Inc.

  • Chiropractor
  • Battle Ground, WA
  • NPI 1134315781
  Medicare reassignment Care Compare group NPD
• Pivot Health Acupuncture

  • Acupuncturist
  • Clackamas, OR
  • NPI 1184040255
  NPD

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1689067142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16677 NE RUSSELL ST APT 121",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NE 132ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972303014",
            "telephone_number": "503-260-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyna Lee Moore, N.D., D.C.
• Vicki Darlene Moore, RN, MSN, ACNP
• Vincent Andrew Moore, MD, MPH&TM
• Wendy Michel Moore, MA PHYSICAL THERAPY
• William Moore, D.M.D.
• Yasmine Marshae' Moore, CMA
• Anne Elizabeth Moorehead
• John Couper Moorhead, MD
• Ranjani N Moorthi, MD
• Paula S Moos, PMHNP

• Sports Physician Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Sports Physician Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.