Active NPI
Lisa C. Moore, DC
- Chiropractor
- Auburn, CA
National Provider Identifier
1740386002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11627
- Practice address
- 11990 Heritage Oak PL
#11
Auburn, CA 95603 - Phone
- (530) 885-3239
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- 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 | 11627 | CA | Primary |
Addresses
Primary practice location
11990 Heritage Oak PL
#11
Auburn, CA 95603
Mailing address
11990 Heritage Oak PL
#11
Auburn, CA 95603
Phone (530) 885-3239
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11627 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740386002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11990 HERITAGE OAK PL",
"address_2": "#11",
"city": "AUBURN",
"state": "CA",
"postal_code": "95603",
"telephone_number": "530-885-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11990 HERITAGE OAK PL",
"address_2": "#11",
"city": "AUBURN",
"state": "CA",
"postal_code": "95603",
"telephone_number": "530-885-3239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LISA",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "11627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.