Individual provider Active NPI

Nathan Arnold Moore, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1841439890
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60064500 Issued in WA
Practice address
4634 E. Marginal Way S.
#C-120
Seattle, WA 98134
Phone
(206) 932-7943
Fax
(206) 932-8686
NPI assigned
Feb 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60064500 WA Primary

Addresses

Primary practice location

4634 E. Marginal Way S.
#C-120
Seattle, WA 98134

Mailing address

4634 E. Marginal Way S.
#C-120
Seattle, WA 98134
Phone (206) 932-7943

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

LicenseStateTypeSpecialty
CH60064500WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Sports Chiropractic & Physical Therapy PastSince Jul 16, 2023 Accepting new patients
Fuel Spine & Sports Therapy Chiropractor PastSince Nov 24, 2019 Accepting new patients
Devine Chiropractic and Rehab Center Chiropractor PastSince Mar 1, 2006 Accepting new patients
Chiro One Wellness Center of Pike Street PLLC Chiropractor PastSince Nov 5, 2023 Accepting new patients
Functional Health Consulting, LLC Chiropractor Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1841439890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 E. MARGINAL WAY S.",
            "address_2": "#C-120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98134",
            "telephone_number": "206-932-7943",
            "fax_number": "206-932-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 E. MARGINAL WAY S.",
            "address_2": "#C-120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98134",
            "telephone_number": "206-932-7943",
            "fax_number": "206-932-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NATHAN",
        "middle_name": "ARNOLD",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60064500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.