NPIMap

Organization Active NPI

Moore Chiropractic, PLLC

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1811374176
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH-11081 Issued in FL
Legal business name
MOORE CHIROPRACTIC, PLLC
Practice address
3751 S Clyde Morris Blvd Unit 7
Port Orange, FL 32129-2356
Phone
(386) 426-0023
Fax
(386) 322-4667
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Angela Moore, D.C.
Title
Owner/Chiropractor
Phone
(479) 466-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH-11081 FL Primary

Addresses

Primary practice location

3751 S Clyde Morris Blvd Unit 7
Port Orange, FL 32129-2356

Mailing address

3751 S Clyde Morris Blvd Unit 7
Port Orange, FL 32129-2356
Phone (386) 426-0023

National Provider Directory

National Provider Directory

Locations

3751 Clyde Morris Blvd
Unit 7
Port Orange, FL 32129
Phone (386) 310-3060

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1811374176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 S CLYDE MORRIS BLVD UNIT 7",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292356",
            "telephone_number": "386-426-0023",
            "fax_number": "386-322-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 S CLYDE MORRIS BLVD UNIT 7",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292356",
            "telephone_number": "386-426-0023",
            "fax_number": "386-322-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "479-466-7717",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-11081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.