Individual provider Active NPI

Timothy Ian Moore III, DC

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1881172997
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61126971 Issued in WA
Practice address
804 Dupont St Ste 101
Bellingham, WA 98225-3127
Phone
(360) 592-3133
NPI assigned
Jul 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61126971 WA Primary

Addresses

Primary practice location

804 Dupont St Ste 101
Bellingham, WA 98225-3127

Mailing address

804 Dupont St Ste 101
Bellingham, WA 98225-3127

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
CH61126971WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Walkmoore LLC Chiropractor CurrentSince Jan 4, 2026 Accepting new patients
Luther and Luther PLLC Chiropractor PastSince Sep 1, 2021 Accepting new patients

Locations

804 DuPont St
Ste 101
Bellingham, WA 98225
Phone (360) 592-3133

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1881172997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 DUPONT ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 DUPONT ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253127",
            "telephone_number": "360-592-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIMOTHY",
        "middle_name": "IAN",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61126971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.