Individual provider Active NPI

David Quinton Moore, D.C.

  • Chiropractor
  • Hewitt, TX
National Provider Identifier
1952507469
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10653 Issued in TX
Practice address
315 N Hewitt Dr
Hewitt, TX 76643-3043
Phone
(254) 235-2364
Fax
(254) 235-2467
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10653 TX Primary

Addresses

Primary practice location

315 N Hewitt Dr
Hewitt, TX 76643-3043

Mailing address

315 N Hewitt Dr
Hewitt, TX 76643-3043
Phone (254) 235-2364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000306 TX Practitioner - Chiropractic 7416035787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 N Hewitt Dr
Hewitt, TX 76643-3043
Phone (254) 235-2364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10653TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David Q. Moore, L.L.C. Chiropractor CurrentSince Dec 31, 2007 Accepting new patients
Michael Paul Moore, L.L.C. Chiropractor PastSince Dec 31, 2007 Accepting new patients

Locations

315 N Hewitt Dr
Hewitt, TX 76643
Phone (254) 235-2364

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1952507469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N HEWITT DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433043",
            "telephone_number": "254-235-2364",
            "fax_number": "254-235-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N HEWITT DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433043",
            "telephone_number": "254-235-2364",
            "fax_number": "254-235-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "middle_name": "QUINTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewitt, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.