Active NPI
Michael Jason Moore, D.C.
- Chiropractor
- Page, AZ
National Provider Identifier
1851456487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5032
- Practice address
- 463 S Lake Powell Blvd
Ste. a
Page, AZ 86040-0790 - Phone
- (928) 645-0945
- Fax
- (928) 645-3254
- NPI assigned
- Dec 26, 2006
- 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 | 5032 | AZ | Primary |
Addresses
Primary practice location
463 S Lake Powell Blvd
Ste. a
Page, AZ 86040-0790
Mailing address
PO Box 790
Page, AZ 86040-0790
Phone (928) 645-0945
Other names 1
- Dr. Michael Jason Moore
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1851456487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "PAGE",
"state": "AZ",
"postal_code": "860400790",
"telephone_number": "928-645-0945",
"fax_number": "928-645-3254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 S LAKE POWELL BLVD",
"address_2": "STE. A",
"city": "PAGE",
"state": "AZ",
"postal_code": "860400790",
"telephone_number": "928-645-0945",
"fax_number": "928-645-3254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MICHAEL",
"middle_name": "JASON",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "MOORE",
"middle_name": "JASON",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Page, AZ
- Clinton Charles McCormick, PHARM.D.
- Maria Dorothea McHenry, SLPA
- Jeff McIntyre, MS COUNSELOR, LPC
- Cresfield Winslow Moody, FNP
- Faith Mooney, M.ED.
- Fe Damarys Murray, M.S., CCC-SLP
- My Kidney Care Center, LLC
- Seth Curtis Nolan, APRN-RNP
- Northern Arizona Dermatology Center, PC
- Michelle Marie O'Shaughnessy, LICENSED ACUPUNCTURE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.