Luke Avery Moore, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0105855 Issued in KS

Practice address

813 W Douglas Ave
Wichita, KS 67213-4704

Phone

(316) 440-4052

Fax

(316) 201-4331

NPI assigned

Jul 20, 2018

Last updated

Jul 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Motus Health Wichita LLC

  • Chiropractor
  • Wichita, KS
  • NPI 1285432674
  Medicare reassignment NPD
• Bender Chiropractic, PA

  • Chiropractor
  • Wichita, KS
  • NPI 1952945933
  NPD

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1700363900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672134704",
            "telephone_number": "316-440-4052",
            "fax_number": "316-201-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672134704",
            "telephone_number": "316-440-4052",
            "fax_number": "316-201-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LUKE",
        "middle_name": "AVERY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sue Moore, DPT
• Kevin P. Moore, LCMFT
• Kynnedy Janeece Moore
• Laron Moore, LPC
• Lizette Denise Moore, LPT
• Mark Douglas Moore, O. D.
• Michael Justin Moore, ARNP
• Michelle Moore
• Olivia Moore
• Rhonda Kay Moore

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.