Individual provider Active NPI

Scott Marshall Moore, DC

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1780674358
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8609 Issued in FL
Practice address
1701 Shepherd Rd
Lakeland, FL 33811-2179
Phone
(863) 646-5575
Fax
(863) 648-4465
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8609 FL Primary

Addresses

Primary practice location

1701 Shepherd Rd
Lakeland, FL 33811-2179

Mailing address

1701 Shepherd Rd
Lakeland, FL 33811-2179
Phone (863) 646-5575

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
CH8609FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Munday Chiropractic Clinic P a Chiropractor PastSince Apr 15, 2002 Accepting new patients
Chirocare Solutions LLC Chiropractor PastSince Jan 1, 2017 Accepting new patients
Smith Business Trust, Cto Chiropractor Past Accepting new patients
Cheatwood Chiropractic Offices, PA Chiropractor PastSince Jun 24, 2003 Accepting new patients
Natural Wellness Center Chiropractor PastSince Nov 1, 2005 Accepting new patients
JK Huff Inc Chiropractor PastSince Aug 31, 2010 Accepting new patients

Organizations & group practices 6

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780674358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SHEPHERD RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338112179",
            "telephone_number": "863-646-5575",
            "fax_number": "863-648-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SHEPHERD RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338112179",
            "telephone_number": "863-646-5575",
            "fax_number": "863-648-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SCOTT",
        "middle_name": "MARSHALL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.