Organization Active NPI

Moreau Chiropractic & Neurology Center, PC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1881813996
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8847 Issued in TX
Legal business name
MOREAU CHIROPRACTIC & NEUROLOGY CENTER, PC
Practice address
5017 W Lovers LN
Dallas, TX 75209-3141
Phone
(214) 351-4070
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Michael Roger Moreau, D.C.NPI 1871512533
Title
President
Phone
(214) 351-4070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8847 TX Primary

Addresses

Primary practice location

5017 W Lovers LN
Dallas, TX 75209-3141

Mailing address

219 Nicki LN
Arlington, TX 76014-3138
Phone (214) 351-4070

Other identifiers 1

IdentifierTypeStateIssuer
1871512533OtherTXNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

5017 W Lovers Ln
Dallas, TX 75209
Phone (214) 351-4070

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1881813996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 NICKI LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143138",
            "telephone_number": "214-351-4070",
            "fax_number": "214-352-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093141",
            "telephone_number": "214-351-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREAU CHIROPRACTIC & NEUROLOGY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "MOREAU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-351-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1871512533",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.