Individual provider Active NPI

Ronald D. Moore, D.C.

  • Chiropractor
  • Huber Heights, OH
National Provider Identifier
1841371168
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1368 Issued in OH
Practice address
7480 Old Troy Pike
Heights Chiropractor Physicians LLC
Huber Heights, OH 45424
Phone
(937) 235-2225
Fax
(937) 237-9973
NPI assigned
Oct 17, 2006
Last updated
Jul 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1368 OH Primary

Addresses

Primary practice location

7480 Old Troy Pike
Heights Chiropractor Physicians LLC
Huber Heights, OH 45424

Mailing address

7480 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 235-2225

Other identifiers 1

IdentifierTypeStateIssuer
0780918MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330000601 OH Practitioner - Chiropractic 4688620800 Reassigns benefits to 1 organization
Practice locations: Huber Heights, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7007 Old Troy Pike
Huber Heights, OH 45424-2746
Phone (937) 723-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1368OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heights Chiropractic Physicians, LLC Chiropractor CurrentSince Feb 1, 2010 Accepting new patients
Agarwal & Agarwal MDS Inc PastSince Jun 21, 1993 Accepting new patients

Locations

7405 Brandt Pike
Huber Heights, OH 45424
Phone (937) 235-2225

7480 Troy Pike
Huber Heights, OH 45424
Phone (937) 235-2225

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1841371168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 OLD TROY PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-235-2225",
            "fax_number": "937-237-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 OLD TROY PIKE",
            "address_2": "HEIGHTS CHIROPRACTOR PHYSICIANS LLC",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-235-2225",
            "fax_number": "937-237-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RONALD",
        "middle_name": "D.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0780918",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.