J Kenneth Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5766 Issued in TX

Practice address

707 Sunset St
Denton, TX 76201-2668

Phone

(940) 383-9399

Fax

(940) 566-8630

NPI assigned

Jan 20, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1720068026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SUNSET ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012668",
            "telephone_number": "940-383-9399",
            "fax_number": "940-566-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SUNSET ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012668",
            "telephone_number": "940-383-9399",
            "fax_number": "940-566-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "J",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088445401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "8S3560",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Evan Mood, LPC-S
• Amanda Michelle Mooney, FNP
• Moore Chiropractic Center
• Alexis Marie Moore, LMSW
• Ashlyn Kimberly Moore
• Kaitlyn Moore
• Kalee Janiece Moore, DO
• Kathleen Rose Moore, R.N., F.N.P.-C
• Kristin Moore
• Michelle Yvonne Moore, MED., LPC

• Chiropractor in Denton, TX
• Providers in Denton, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.