Individual provider Active NPI

Jaryd W Moore, DC

  • Chiropractor
  • Winfield, KS
National Provider Identifier
1821867748
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06253 Issued in KS
Practice address
1913 E 19TH Ave
Winfield, KS 67156-5303
Phone
(620) 221-1990
Fax
(620) 221-4523
NPI assigned
Dec 20, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06253 KS Primary

Addresses

Primary practice location

1913 E 19TH Ave
Winfield, KS 67156-5303

Mailing address

1913 E 19TH Ave
Winfield, KS 67156-5303
Phone (620) 221-1990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315001341 KS Practitioner - Chiropractic 1850737560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winfield Chiropractic and Rehabilitation Center LLCGroup PAC ID 1153332119, 3 clinicians
Winfield Chiropractic Relief and Wellness, LLCGroup PAC ID 3678009289, 2 clinicians

Practice addresses (Care Compare)

1913 E 19TH Ave
Winfield, KS 67156-5303
Phone (620) 221-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winfield Chiropractic Relief and Wellness, LLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Winfield Chiropractic & Rehabilitation Center, LLC Chiropractor CurrentSince Feb 10, 2024 Accepting new patients

Locations

1913 E 19th Ave
Winfield, KS 67156
Phone (620) 221-1990

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1821867748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 E 19TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671565303",
            "telephone_number": "620-221-1990",
            "fax_number": "620-221-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 E 19TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671565303",
            "telephone_number": "620-221-1990",
            "fax_number": "620-221-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JARYD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.