Active NPI
Vikki Lynn Moore, D.C.
- Chiropractor
- Deland, FL
National Provider Identifier
1922405612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11355
- Practice address
- 339 E New York Ave
Deland, FL 32724-5509 - Phone
- (386) 734-4490
- NPI assigned
- Nov 25, 2014
- Sex
- Female
- 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 | CH11355 | FL | Primary |
Addresses
Primary practice location
339 E New York Ave
Deland, FL 32724-5509
Mailing address
339 E New York Ave
Deland, FL 32724-5509
Phone (386) 734-4490
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": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1922405612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 E NEW YORK AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327245509",
"telephone_number": "386-734-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 E NEW YORK AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327245509",
"telephone_number": "386-734-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "VIKKI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.