Organization Active NPI

Michele K. Moore, D.C.,P.C.

  • Sports Physician Chiropractor
  • Austin, TX
National Provider Identifier
1952484826
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4982 Issued in TX
Legal business name
MICHELE K. MOORE, D.C.,P.C.
Doing business as
Moore Chiropractic Health Care Center
Practice address
8301 Shoal Creek Blvd
Austin, TX 78757-7525
Phone
(512) 459-5523
Fax
(512) 459-5877
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Dr. Michele Kay Moore, D.C.
Title
Owner
Phone
(512) 459-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 4982 TX Primary

Addresses

Primary practice location

8301 Shoal Creek Blvd
Austin, TX 78757-7525

Mailing address

8301 Shoal Creek Blvd
Austin, TX 78757-7525
Phone (512) 459-5523

Other identifiers 4

IdentifierTypeStateIssuer
4982OtherTXTX STATE LICENSE
7425422662OtherTNTAX ID
1972521607OtherTXNPI NUMBER BASED ON SS
603967OtherTXBLUE CROSS/BLUE SHIELD

Other names 1

  • Moore Chiropractic Health Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

8301 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 452-7724

7951 Shoal Creek Blvd
Ste 230
Austin, TX 78757
Phone (512) 459-5523

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1952484826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 SHOAL CREEK BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577525",
            "telephone_number": "512-459-5523",
            "fax_number": "512-459-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 SHOAL CREEK BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577525",
            "telephone_number": "512-459-5523",
            "fax_number": "512-459-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE K. MOORE, D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-459-5523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "4982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE LICENSE",
            "identifier": "4982",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "7425422662",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER BASED ON SS",
            "identifier": "1972521607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "603967",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Chiropractic Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.