Moore Imbibition LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MOORE IMBIBITION LLC

Practice address

401 E Downing St
Tahlequah, OK 74464-3015

Phone

(918) 456-1300

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Authorized official

Name

Seth Moore, DCNPI 1154985091

Title

Dr

Phone

(918) 734-2711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seth Garrett Moore

  • Chiropractor
  • Tahlequah, OK
  • NPI 1154985091
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1720628282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643015",
            "telephone_number": "918-456-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643015",
            "telephone_number": "918-456-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE IMBIBITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "918-734-2711",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea D Mitchell, PA C
• Mary Elizabeth Mitchell, AU.D.
• Patti Kay Mitchell
• Robert P Mitchell, DC
• Mobility Plus LLC
• Celeste Moore
• David Franklin Moore III, PHARM.D.
• Lauren Moore, DPT
• Lynna J Moore
• Mary Kathleen Moore, D.O.

• Chiropractor in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.