ROBERT RAYMOND MOORE (NPI# 1164796207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164796207 |
| Entity Type | Individual |
| Full Name | ROBERT RAYMOND MOORE |
| Credential | D.C. |
| Practice Address |
6592 N Decatur Blvd Suite 115 Las Vegas NV 89131-1037 |
| Mailing Address |
4416 E Bonanza Rd Unit 150 Las Vegas NV 89110-6349 |
| Practice Telephone | 7023964993 |
| Practice Fax Number | 7026364990 |
| Mailing Telephone | 7024318100 |
| Mailing Fax Number | 7024388101 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2017-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | B01456 | NV | Chiropractic Providers |
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
B01456 | NV | Chiropractic Providers |
| N | 208100000X | Physical Medicine & Rehabilitation | B01456 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BOARD OF CHIROPRACTIC EXAMINERS | 126002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868294 | Robert John Moore | Social Worker | 1633 Fairmount Ave, Philadelphia, PA 19130-2352 | 2019-06-02 |
| 1124683685 | Robert Hart Moore | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency 980118, 1250 E. Marshal Street, Richmond, VA 23298-0118 | 2019-05-09 |
| 1205354511 | Robert Lee Moore | Student in an Organized Health Care Education/Training Program | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-07 |
| 1083091201 | Robert Moore | Specialist/Technologist | 11600 Mary Catherine Dr, Clinton, MD 20735-1040 | 2015-04-27 |
| 1497150015 | Robert Moore | Audiologist | Dept of Speech Pathology and Audiology, Hahn 1119, University of South Alabama, Mobile, AL 36688-0001 | 2014-10-24 |
| 1780020388 | Robert R Moore | Counselor | 88 Beckwith Dr, Galesburg, MI 49053-9604 | 2013-05-22 |
| 1114262581 | Robert Daniel Moore | Hearing Instrument Specialist | 1911 S Main Street, Corbin, KY 40701 | 2012-12-11 |
| 1487918413 | Robert Wallace Moore Jr. | Orthopaedic Surgery | 4563 Landfall Ct, Destin, FL 32541-5313 | 2012-06-25 |
| 1972804102 | Robert Stephen Moore | Pharmacist | 671 Rancho Santa Fe Road, San Marcos, CA 92078-3973 | 2010-11-04 |
| 1942539978 | Robert Andrew Moore | Family Medicine | 11848 Goshen Ave, 301, Los Angeles, CA 90049-6336 | 2009-12-22 |
| Street Address |
6592 N DECATUR BLVD SUITE 115 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89131-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326008079 | Jason O Jaeger | Chiropractor | 6592 N Decatur Blvd, Suite 115, Las Vegas, NV 89131-1037 | 2006-03-26 |
| 1336682715 | Alexandar Joshua Peters | Chiropractor | 6592 N Decatur Blvd, #115, Las Vegas, NV 89131-1037 | 2016-12-02 |
| 1588039739 | Lauren Crystann Taylor | Physician Assistant | 6592 N Decatur Blvd, Unit 115, Las Vegas, NV 89131-1037 | 2015-12-13 |
| 1629493804 | Optic Gallery Aliante Inc | Optometrist | 6592 N Decatur Blvd, Ste. 130, Las Vegas, NV 89131-1037 | 2014-02-25 |
| 1811326200 | Lauren Traveller | Nurse Practitioner | 6592 N Decatur Blvd, Suite 115, Las Vegas, NV 89131-1037 | 2013-11-05 |
| 1497195580 | Golan Integrated Physical Medicine, P.C. | Neuromusculoskeletal Medicine, Sports Medicine | 6592 N Decatur Blvd, Suite 115, Las Vegas, NV 89131-1037 | 2013-07-03 |
| 1528237336 | Naren Chelian | Dentist | 6592 N Decatur Blvd, Suite 160, Las Vegas, NV 89131-1037 | 2008-02-26 |
| 1255386702 | Hilaire Pressley | Optometrist | 6592 N Decatur Blvd, Ste. 130, Las Vegas, NV 89131-1037 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013497973 | Vivian Matti | Technician | 7155 Royal Melbourne Dr, Las Vegas, NV 89131 | 2018-08-20 |
| 1235656810 | Yolonda Chantelle Johnson | Massage Therapist | 8400 Farm Road #150, Las Vegas, NV 89131 | 2017-08-24 |
| 1528581865 | Nevada Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8491 Farm Rd, Las Vegas, NV 89131 | 2017-07-19 |
| 1992252522 | Brittany Ann Brumfield | Behavioral Analyst | 7580 Splashing Rock Drive, Las Vegas, NV 89131 | 2016-09-01 |
| 1144682220 | Integrative Health & Wellness Practices LLC | Chiropractor | 6628 Skypointe Drive Suite 113, Las Vegas, NV 89131 | 2016-03-28 |
| 1659747137 | Daniel Leiner | Pharmacist | 8410 W. Farm Road, Las Vegas, NV 89131 | 2015-08-19 |
| 1669860938 | Adrienne K Stauffer-snell | Chiropractor | 8400 Farm Road, Suite 150, Las Vegas, NV 89131 | 2015-01-08 |
| 1568897874 | Arturo Hernandez | Physical Therapist | 6535 N Buffalo Dr Ste 120, Las Vegas, NV 89131 | 2013-09-05 |
| 1750727996 | Sheppards Health Education &psychiatric Services | Counselor | 5827 Falling Stream Street, Las Vegas, NV 89131 | 2013-05-15 |
| 1962748038 | Phases of Me, Inc. | Counselor | 6624 Sky Pointe Drive, Las Vegas, NV 89131 | 2012-12-18 |
| Find all providers in zip 89131 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516228 | Hernandez Chiropractic LLC. | Chiropractor | 2829 S Rainbow Blvd, Las Vegas, NV 89146-5166 | 2020-10-19 |
| 1508475203 | Powerhouse Physical Therapy LLC | Chiropractor | 3050 E Bonanza Rd Ste 110d, Las Vegas, NV 89101-3706 | 2020-07-28 |
| 1366077067 | Josephine N Stanton | Chiropractor | 8475 S Eastern Ave Ste 101, Las Vegas, NV 89123-2863 | 2020-03-03 |
| 1194356220 | Joshua Lawrence Sharpe | Chiropractor | 410 S Rampart Blvd Ste 340, Las Vegas, NV 89145-5730 | 2020-01-28 |
| 1104466713 | The Muscle, Joint & Spine Center, Inc. | Chiropractor | 9516 W Flamingo Rd Ste 125, Las Vegas, NV 89147-5748 | 2020-01-11 |
| 1831730894 | Daniel Stellavato | Chiropractor | 11014 Calcedonian St, Las Vegas, NV 89141-4328 | 2019-10-01 |
| 1184272601 | Andrea Watson | Chiropractor | 10420 S Decatur Blvd Ste 140, Las Vegas, NV 89141-8717 | 2019-08-28 |
| 1760940555 | Willie So | Chiropractor | 1263 E Silverado Ranch Blvd Ste 105a, Las Vegas, NV 89183-5946 | 2019-03-11 |
| 1861962052 | Light Brothers, LLC | Chiropractor | 10040 W Cheyenne Ave Ste 130, Las Vegas, NV 89129-7720 | 2018-11-29 |
| 1073099354 | Alignology, LLC | Chiropractor | 10470 W Cheyenne Ave Ste 115, Las Vegas, NV 89129-8733 | 2018-07-19 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.