Lance D Moore, D.C.
Individual provider Active NPI Orthopedic Chiropractor · Comfort, TX
NPI 1750459665 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1750459665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Chiropractor 111NX0800X
- License
- 9117 (TX)
- Practice address
- 212 Hwy 87
Comfort, TX 78013-3705 - Phone
- (830) 995-3887
- Fax
- (830) 995-3393
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comfort Chiropractic, PA
Practice addresses (Care Compare)
212 US Hwy 87
Comfort, TX 78013-3737
Phone (830) 995-3887
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090929000331 | TX | Practitioner - Chiropractic | 8123174497 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Chiropractic, PA | Current |
Accepting new patients |
Locations
212 US Highway 87
Comfort, TX 78013
Phone (830) 995-3887
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 9117 | TX | Yes |
Addresses
Primary practice location
212 Hwy 87
Comfort, TX 78013-3705
Mailing address
PO Box 68
Comfort, TX 78013-0068
Phone (830) 995-3887
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00933403 | Other | TX | RR MEDICARE |
Other providers in Comfort, TX
- Kristen Lindner
- Michael Braden, MD, PA
- Mikosh Drug Company, LLC
- Mikosh Drug Company, LLC
- Gail Mikosh
- Keeley Moore Mungia
- Nancy M Rickerhauser
- Set Free Behavioral Center LLC
- Hannah L Shoemaker
- Carla D Sorbel
All providers in Comfort, TX · Orthopedic Chiropractor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.