Organization Active NPI

Moore'S Chiropractic Health Clinic

  • Chiropractor
  • Crestview, FL
National Provider Identifier
1962641548
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8711 Issued in FL
Legal business name
MOORE'S CHIROPRACTIC HEALTH CLINIC
Practice address
502B S Ferdon Blvd
Crestview, FL 32536-4238
Phone
(850) 682-8550
Fax
(850) 682-8594
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Earl Moore, D.C.
Title
Owner
Phone
(850) 682-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8711 FL Primary

Addresses

Primary practice location

502B S Ferdon Blvd
Crestview, FL 32536-4238

Mailing address

502B S Ferdon Blvd
Crestview, FL 32536-4238
Phone (850) 682-8550

National Provider Directory

National Provider Directory

Locations

502B S Ferdon Blvd
Crestview, FL 32536
Phone (850) 682-8550

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1962641548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502B S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364238",
            "telephone_number": "850-682-8550",
            "fax_number": "850-682-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502B S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364238",
            "telephone_number": "850-682-8550",
            "fax_number": "850-682-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE'S CHIROPRACTIC HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-682-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.