Joshua Robert Moore, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2254 Issued in ID

Practice address

400 Schweitzer Plaza Dr Ste 4
Ponderay, ID 83852-9819

Phone

(208) 265-9400

NPI assigned

Oct 8, 2021

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sandpoint Chiropractic PLLC

  • Chiropractor
  • Ponderay, ID
  • NPI 1043904253
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1831851716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SCHWEITZER PLAZA DR STE 4",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529819",
            "telephone_number": "208-265-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SCHWEITZER PLAZA DR STE 4",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529819",
            "telephone_number": "208-265-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOSHUA",
        "middle_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-08",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61218822",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy McGrath, PHARMACIST
• Michael R Dibenedetto MD PLLC (Seasons Plastic & Reconstructive Surgery)
• Michael R Dibenedetto MD PLLC (North Idaho Cardiac Rehabilitation)
• Nicholas G Miller, D.M.D
• Amber C Moir-Brow, LCSW, ACADC
• Nora Morrison, LMT
• Melinda Elizabeth Helen Murray, OT
• Andrew Nelson, LMT
• Northern Lakes Chiropractic Clinic, P.C.
• Northpoint Spa LLC

• Chiropractor in Ponderay, ID
• Providers in Ponderay, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.