Active NPI
Michele Kay Moore, D.C.
- Sports Physician Chiropractor
- Austin, TX
National Provider Identifier
1972521607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 4982
- Practice address
- 7951 Shoal Creek Blvd Ste 230
Austin, TX 78757-7567 - Phone
- (512) 459-5523
- Fax
- (512) 459-5877
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC4982 | TX | |
| Sports Physician Chiropractor | 111NS0005X | 4982 | TX | Primary |
Addresses
Primary practice location
7951 Shoal Creek Blvd Ste 230
Austin, TX 78757-7567
Mailing address
7951 Shoal Creek Blvd Ste 230
Austin, TX 78757-7567
Phone (512) 459-5523
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4982 | Other | TX | STATE LICENCE |
| 603967 | Other | TX | BLUE CROSS BLUE SHIELD |
| 742542662 | Other | TX | IRS |
| C06039679 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4982 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| DC4982 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558915200000",
"number": "1972521607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7951 SHOAL CREEK BLVD STE 230",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787577567",
"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": "7951 SHOAL CREEK BLVD STE 230",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787577567",
"telephone_number": "512-459-5523",
"fax_number": "512-459-5877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MICHELE",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2019-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC4982",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "4982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "4982",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "603967",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "742542662",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C06039679",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 May 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.