Kyle Douglas Moore, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1040 Issued in WV

Practice address

923 Emerson Ave
Parkersburg, WV 26104-2526

Phone

(304) 428-9355

NPI assigned

Oct 27, 2019

Last updated

Oct 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dawn Injury and Wellness Center PLLCGroup PAC ID 1951446053, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dawn Injury & Wellness Center PLLC

  • Chiropractor
  • Parkersburg, WV
  • NPI 1932318573
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1750924387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042526",
            "telephone_number": "304-428-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042526",
            "telephone_number": "304-428-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KYLE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Moore, SLP
• Hali Moore
• Jenna Katherine Moore
• Jenna Marie Moore, LPN
• Julie Renae Moore
• Lisa Renee Moore, LPN
• Merisha Dawn Moore
• Rodney J Moore, DDS
• Christopher W Morehead
• Michael A Morehead, MD

• Chiropractor in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.