DR. JASON DEWITT MOORE (NPI# 1629532734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629532734 |
| Entity Type | Individual |
| Full Name | DR. JASON DEWITT MOORE |
| Credential | DC |
| Practice Address |
2204 2nd Ave W Ste 102 Williston ND 58801-3485 |
| Practice Telephone | 7015777771 |
| Mailing Telephone | 7015777771 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1087 | ND | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | CHIROPRACTIC STATE BOARD | 1087 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1134602204 | Jason Moore | Community Health Worker | 431 William St, Buffalo, NY 14204-1819 | 2018-09-13 |
| 1215436852 | Jason T Moore | Hearing Instrument Specialist | 1525 Port Clinton Rd Ste D, Fremont, OH 43420-1234 | 2018-02-09 |
| 1235641622 | Jason Moore | Private Vehicle | 5526 Bandera Springs Cir, Riverview, FL 33578-3686 | 2017-10-25 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1346772662 | Jason Moore | Home Health Aide | 209a Rocky Run Rd, Fredericksburg, VA 22406-5413 | 2017-03-28 |
| 1154705382 | Jason Otis Moore | Case Manager/Care Coordinator | 500 W. Ave E St., Hope, AR 71801 | 2015-07-17 |
| 1497020721 | Jason L Moore | Massage Therapist | 1920 Springville Rd, Wooster, OH 44691-9729 | 2012-03-20 |
| 1093923864 | Jason Ellis Moore | Occupational Therapist | 35 Edmar Ave, Marietta, OH 45750-7603 | 2007-05-17 |
| 1790826675 | Jason Wayne Moore | Physical Therapist | 2021 Columbus Ave, Washington Court House, OH 43160-9094 | 2007-02-12 |
| Street Address |
2204 2ND AVE W STE 102 |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| 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 |
|---|---|---|---|---|
| 1598312365 | Basin Health & Spine Center | Chiropractor | 1319 2nd Ave W # 101, Williston, ND 58801-4164 | 2019-08-26 |
| 1861057432 | Brook Mcfarlin Chiropractic LLC | Chiropractor | 3314 13th Ave E, Williston, ND 58801-6361 | 2019-05-08 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1932643012 | Alyssa Rae Strassel | Chiropractor | 600 Blair Park Rd Ste 260, Williston, VT 05495-7586 | 2016-12-08 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1487948196 | Kyle Robert Ceynar | Chiropractor | 2315 2nd Ave W, Williston, ND 58801-3411 | 2011-05-31 |
| 1447558978 | Chase Lee Theige | Chiropractor | 717 E Broadway, Williston, ND 58801-6166 | 2011-03-08 |
| 1841591799 | Lacee N Carr | Chiropractor | 34 24th St W, Williston, ND 58801-6271 | 2010-11-09 |
| 1457661126 | Brian Mehaffey | Chiropractor | 4357 Oak Hill Road, Williston, VT 05495-7101 | 2010-10-15 |
| 1447498969 | Pamela Anne Halton | Chiropractor | 528 Essex Rd Ste 205, Williston, VT 05495-7849 | 2009-01-22 |
| Find all providers in WILLISTON | ||||
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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.