Individual provider Active NPI

Matthew Scott Moore, D.C.

  • Chiropractor
  • Frankfort, KY
National Provider Identifier
1962783753
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5302 Issued in KY
Practice address
1100 US Highway 127 S
Frankfort, KY 40601-4318
Phone
(502) 223-2001
NPI assigned
Sep 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5302 KY Primary

Addresses

Primary practice location

1100 US Highway 127 S
Frankfort, KY 40601-4318

Mailing address

1100 US Highway 127 S Ste C1
Frankfort, KY 40601-4371
Phone (502) 223-2001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121026000077 KY Practitioner - Chiropractic 6305095852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 US Hwy 127 S
Suite C1
Frankfort, KY 40601-4371
Phone (502) 223-2001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5302KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Chiropractic and Rehabilitation PSC Chiropractor CurrentSince Jun 15, 2012 Accepting new patients
Westside Family Chiropractic Chiropractor PastSince Jun 15, 2012 Accepting new patients

Locations

1100 US Highway 127 S
Ste C1
Frankfort, KY 40601
Phone (502) 223-2001

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": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1962783753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 US HIGHWAY 127 S STE C1",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014371",
            "telephone_number": "502-223-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 US HIGHWAY 127 S",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014318",
            "telephone_number": "502-223-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.