Individual provider Active NPI

Taylor Moore, DC

  • Chiropractor
  • Middleton, WI
National Provider Identifier
1770143802
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5456 Issued in WI
Practice address
6629 University Ave Ste 101
Middleton, WI 53562
Phone
(920) 379-7268
NPI assigned
Jun 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5456 WI Primary

Addresses

Primary practice location

6629 University Ave Ste 101
Middleton, WI 53562

Mailing address

6629 University Ave Ste 101
Middleton, WI 53562-3037
Phone (920) 379-7268

Other practice location 1

6629 University Ave Ste 101
Middleton, WI 53562
Phone (920) 379-7268

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5456WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Chiropractic LLC Chiropractor CurrentSince Nov 3, 2019 Accepting new patients
Advantage Chiropractic, LLC Chiropractor CurrentSince May 25, 2024 Accepting new patients

Locations

6629 University Ave
Ste 101
Middleton, WI 53562
Phone (608) 400-1271

17047 W Greenfield Ave
New Berlin, WI 53151
Phone (262) 505-5610

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1770143802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6629 UNIVERSITY AVE STE 101",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623037",
            "telephone_number": "920-379-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6629 UNIVERSITY AVE STE 101",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "53562",
            "telephone_number": "920-379-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6629 University Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "WI",
            "postal_code": "53562",
            "country_code": "US",
            "telephone_number": "920-379-7268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAYLOR",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.