Individual provider Active NPI

Amanda J Moore, D.C.

  • Chiropractor
  • Kihei, HI
National Provider Identifier
1750610812
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
079481 Issued in IA
Practice address
30 E Lipoa St
Kihei, HI 96753-5821
Phone
(808) 270-2520
NPI assigned
Dec 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 079481 IA Primary
Chiropractor 111N00000X DC-1425 HI
Chiropractor 111N00000X 038011563 IL

Addresses

Primary practice location

30 E Lipoa St
Kihei, HI 96753-5821

Mailing address

30 E Lipoa St
Kihei, HI 96753-5821
Phone (808) 270-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191023000613 HI Practitioner - Chiropractic 1850568478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sol Chiropractic IncGroup PAC ID 3274755863, 3 clinicians

Practice addresses (Care Compare)

30 E Lipoa St
Suite 4 102
Kihei, HI 96753-8122
Phone (808) 270-2530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-1425HIMDChiropractor
079481IAMDChiropractor
038011563ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Chiropractic Inc. Chiropractor CurrentSince Jul 25, 2019 Accepting new patients
Center for Maximized Living, LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1750610812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E LIPOA ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967535821",
            "telephone_number": "808-270-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E LIPOA ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967535821",
            "telephone_number": "808-270-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "079481",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1425",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.