Active NPI
Andrew Arthur Moore, DC
- Chiropractor
- Peoria, AZ
National Provider Identifier
1831767219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9073
- Practice address
- 24700 N 67TH Ave
Peoria, AZ 85383 - Phone
- (623) 259-3378
- NPI assigned
- Jun 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9073 | AZ | Primary |
Addresses
Primary practice location
24700 N 67TH Ave
Peoria, AZ 85383
Mailing address
4143 N 35TH PL
Phoenix, AZ 85018-4707
Phone (520) 331-7513
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9073 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1831767219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4143 N 35TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850184707",
"telephone_number": "520-331-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24700 N 67TH AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85383",
"telephone_number": "623-259-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ANDREW",
"middle_name": "ARTHUR",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "9073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.