Organization Active NPI

Moore Chiropractic Clinic, Inc.

  • Chiropractor
  • Dayton, OH
National Provider Identifier
1730228529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
452 Issued in OH
Legal business name
MOORE CHIROPRACTIC CLINIC, INC.
Practice address
30 W Rahn Rd
Suite 28
Dayton, OH 45429-2291
Phone
(937) 294-2828
Fax
(937) 434-7603
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Allen Eugene Moore, D.C.
Title
Owner
Phone
(937) 294-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 452 OH Primary

Addresses

Primary practice location

30 W Rahn Rd
Suite 28
Dayton, OH 45429-2291

Mailing address

30 W Rahn Rd
Suite 28
Dayton, OH 45429-2291
Phone (937) 294-2828

National Provider Directory

National Provider Directory

Locations

5540 Far Hills Ave
Dayton, OH 45429
Phone (614) 779-8579

30 W Rahn Rd
Ste 28
Dayton, OH 45429
Phone (937) 294-2828

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730228529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAHN RD",
            "address_2": "SUITE 28",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292291",
            "telephone_number": "937-294-2828",
            "fax_number": "937-434-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W RAHN RD",
            "address_2": "SUITE 28",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292291",
            "telephone_number": "937-294-2828",
            "fax_number": "937-434-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-294-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.