Active NPI
Richard Cory Moore, DC
- Chiropractor
- Arroyo Grande, CA
National Provider Identifier
1740213636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28985
- Practice address
- 418 E Grand Ave
Arroyo Grande, CA 93420-2620 - Phone
- (805) 473-9404
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28985 | CA | Primary |
Addresses
Primary practice location
418 E Grand Ave
Arroyo Grande, CA 93420-2620
Mailing address
418 E Grand Ave
Arroyo Grande, CA 93420-2620
Phone (805) 473-9404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0289850 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cory Moore Chiropractic Inc | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Arroyo Grande, CA
- NPI 1861510885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740213636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 E GRAND AVE",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934202620",
"telephone_number": "805-473-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 E GRAND AVE",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934202620",
"telephone_number": "805-473-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "RICHARD",
"middle_name": "CORY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC0289850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.