Moore-Fulcher LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC9953 Issued in TX

Legal business name

MOORE-FULCHER LLC

Doing business as

Prime Life Chiropractic

Practice address

2504 Avenue K
Ste 500
Plano, TX 75074-5340

Phone

(972) 424-2225

Fax

(972) 424-7709

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kelli Koreen Moore

Title

Manager

Phone

(972) 424-2225

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PRIME LIFE CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Garland G Fulcher, D.C.

  • Chiropractor
  • Plano, TX
  • NPI 1366558371
  Medicare reassignment NPD

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1952597866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 AVENUE K",
            "address_2": "STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745340",
            "telephone_number": "972-424-2225",
            "fax_number": "972-424-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 AVENUE K",
            "address_2": "STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745340",
            "telephone_number": "972-424-2225",
            "fax_number": "972-424-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE-FULCHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "KOREEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-424-2225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "DC9953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0084QG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8R9800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME LIFE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devin Mooney
• Jennifer Marie Mooney, CCC-SLP
• Ryan Patrick Mooney, M.D.
• Moonlight Healthcare Series LLC
• Moore Hair & Company (Women 2 Women)
• Aaron Moore, BCBA
• Austin Moore, DO
• Christine C Moore, DC
• David O. Moore, M.D.
• John M Moore, M.D.

• Rehabilitation Chiropractor in Plano, TX
• Providers in Plano, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.