NPIMap

Organization Active NPI

Moore Chiropractic Clinic Hattiesburg PLLC

  • Chiropractor
  • Hattiesburg, MS
National Provider Identifier
1750945390
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOORE CHIROPRACTIC CLINIC HATTIESBURG PLLC
Practice address
2737 Oak Grove Rd
Hattiesburg, MS 39402-8946
Phone
(601) 749-4939
Fax
(769) 301-1641
NPI assigned
Apr 29, 2019
Last updated
Apr 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Authorized official

Name
Debbie Moore, DCNPI 1386701944
Title
Owner
Phone
(601) 749-4939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

2737 Oak Grove Rd
Hattiesburg, MS 39402-8946

Mailing address

PO Box 326
Picayune, MS 39466-0326
Phone (601) 749-4939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191115000609 MS Part B Supplier - Clinic/Group Practice 4789016643 Receives reassigned benefits from 4 practitioners
Practice locations: Hattiesburg, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681603200000",
    "number": "1750945390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394660326",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 OAK GROVE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028946",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CHIROPRACTIC CLINIC HATTIESBURG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-749-4939",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.