Individual provider Active NPI

Chad Moore

  • Chiropractor
  • Newberg, OR
National Provider Identifier
1699015982
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5127 Issued in OR
Practice address
2504 Portland Rd
Ste a
Newberg, OR 97132-1971
Phone
(503) 538-9119
Fax
(503) 964-9544
NPI assigned
Feb 22, 2013
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5127 OR Primary

Addresses

Primary practice location

2504 Portland Rd
Ste a
Newberg, OR 97132-1971

Mailing address

2504 Portland Rd
Ste a
Newberg, OR 97132-1971
Phone (503) 538-9119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130401000411 OR Practitioner - Chiropractic 7810132438 Practice locations: Newberg, OR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2504 Portland Rd
Suite a
Newberg, OR 97132-1971
Phone (503) 538-9119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newberg Spine and Sport LLC Chiropractor Current Accepting new patients

Locations

2504 E Portland Rd
Ste A
Newberg, OR 97132
Phone (503) 538-9119

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1699015982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 PORTLAND RD",
            "address_2": "STE A",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321971",
            "telephone_number": "503-538-9119",
            "fax_number": "503-964-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 PORTLAND RD",
            "address_2": "STE A",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321971",
            "telephone_number": "503-538-9119",
            "fax_number": "503-964-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-22",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.