DR. PHILLIP MOORE (NPI# 1962462903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962462903 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP MOORE |
| Credential | D.C. |
| Practice Address |
3609 Highway 367 N Bald Knob AR 72010-9404 |
| Mailing Address |
Po Box 1609 3609 Hwy 367 N Bald Knob AR 72010-1609 |
| Practice Telephone | 5017242202 |
| Practice Fax Number | 5017242202 |
| Mailing Telephone | 5017242202 |
| Mailing Fax Number | 5017242202 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1083 | AR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 150110718 | 05 | |
| AR | BLUE CROSS | 59073 | 01 |
| AR | AETNA | 5187337 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558523332 | Phillip J Moore | Nurse Practitioner | 1095 E. Lamar Alexander Parkway, Maryville, TN 37804-2422 | 2008-07-02 |
| 1518995935 | Phillip Moore | Pediatrics | 400 Parnassus Ave Fl 2, San Francisco, CA 94143-2202 | 2006-06-28 |
| 1144835836 | Phillip Moore | Behavior Technician | 2510 Music Valley Dr, Nashville, TN 37214-1003 | 2020-09-10 |
| 1619518214 | Phillip Daniel Moore | Hearing Instrument Specialist | 1520 E Denman Ave Ste 102, Lufkin, TX 75901-5817 | 2019-10-04 |
| 1114378734 | Phillip Moore | Pharmacist | 3631 Central Ave, Hot Springs, AR 71913-6404 | 2016-06-24 |
| 1265786800 | Phillip J Moore | Physical Therapist | 3125 Independence Dr, Ste 300b, Birmingham, AL 35209 | 2012-11-05 |
| 1376785824 | Phillip Titus Moore | Licensed Practical Nurse | 14401 Idarose Ave, Cleveland, OH 44110-3648 | 2009-03-30 |
| 1215119151 | Phillip Schmitz Moore | Surgery | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2007-12-03 |
| Street Address |
3609 HIGHWAY 367 N |
| City | BALD KNOB |
| State | AR |
| Zip Code | 72010-9404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184041873 | Hayden Sowers Optometry Pa | Optometrist | 3609 Highway 367 N, Bald Knob, AR 72010-9404 | 2014-03-19 |
| 1215246509 | Moore Chiropractic Center, P.a. | Chiropractor | 3609 Highway 367 N, Bald Knob, AR 72010-9404 | 2010-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023668845 | Alice Longacre | Technician | 173 Prince Cemetery Road, Bald Knob, AR 72010 | 2019-09-13 |
| 1407327604 | Wallace Chiropractic Clinic LLC | Chiropractor | 430 S Elm St, Bald Knob, AR 72010 | 2018-12-16 |
| 1801245295 | Wallace Chiropractic Clinic | Chiropractor | 430 S. Elm St, Bald Knob, AR 72010 | 2016-06-07 |
| 1689898330 | City of Bald Knob | Ambulance | 3713 Hwy 367 N, Bald Knob, AR 72010 | 2007-04-12 |
| 1871505800 | Sidney Layman Smith Jr. | Dentist | 1702 Hwy. 367 North, Bald Knob, AR 72010 | 2006-08-11 |
| 1578819405 | Monica M Bomar | Physician Assistant | Po Box 456, Bald Knob, AR 72010-0456 | 2012-07-30 |
| 1003889148 | Denver R Wallace | Chiropractor | 430 South Elm Street, Bald Knob, AR 72010-1177 | 2006-02-09 |
| 1982028270 | Taylor Wallace | Chiropractor | 430 South Elm Street, Bald Knob, AR 72010-1177 | 2014-02-07 |
| 1710068218 | Paul Andrew Teed | Dentist | 2811 Hwy. 367 N., Bald Knob, AR 72010-1360 | 2006-10-18 |
| 1770619645 | Bald Knob Special School District | Speech-Language Pathologist | 103 W Park Ave, Bald Knob, AR 72010-3162 | 2007-02-26 |
| Find all providers in zip 72010 | ||||
| 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 |
|---|---|---|---|---|
| 1407327604 | Wallace Chiropractic Clinic LLC | Chiropractor | 430 S Elm St, Bald Knob, AR 72010 | 2018-12-16 |
| 1801245295 | Wallace Chiropractic Clinic | Chiropractor | 430 S. Elm St, Bald Knob, AR 72010 | 2016-06-07 |
| 1003889148 | Denver R Wallace | Chiropractor | 430 South Elm Street, Bald Knob, AR 72010-1177 | 2006-02-09 |
| 1982028270 | Taylor Wallace | Chiropractor | 430 South Elm Street, Bald Knob, AR 72010-1177 | 2014-02-07 |
| 1215246509 | Moore Chiropractic Center, P.a. | Chiropractor | 3609 Highway 367 N, Bald Knob, AR 72010-9404 | 2010-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706363 | Kassie Wiest | Chiropractor | 1855 Mckennon St Ste 300, Conway, AR 72032-2840 | 2020-10-08 |
| 1376159848 | Seh Holdings, Pllc | Chiropractor | 13924 Cantrell Rd Ste C, Little Rock, AR 72223-1508 | 2020-09-21 |
| 1831702182 | Marshall Sebastian Parker | Chiropractor | 7209 Chad Colley Blvd, Suite A, Barling, AR 72923 | 2020-08-26 |
| 1225654379 | Miranda Oliver | Chiropractor | 7320 Rogers Ave Ste 25, Fort Smith, AR 72903-4167 | 2020-06-24 |
| 1114543451 | Inman Wellness Solutions Pllc | Chiropractor | 1306 S Caraway Rd Unit B, Jonesboro, AR 72401-4507 | 2020-06-23 |
| 1801421409 | Jeremy Ray Johnson | Chiropractor | 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 | 2020-03-04 |
| 1700426152 | Misty Dawn Tramel | Chiropractor | 1411 Marketplace Dr Ste B, Jonesboro, AR 72401-5232 | 2020-01-14 |
| 1811537129 | Tyler Lee Awe | Chiropractor | 3155 N College Ave Ste 103, Fayetteville, AR 72703-3500 | 2020-01-14 |
| 1780220061 | Chiroflex, LLC | Chiropractor | 131 Hwy 64 W, Beebe, AR 72012-9506 | 2019-11-21 |
| 1982245387 | Aell Spencer Chiropractic Inc | Chiropractor | 3980 W Wedington Dr Ste 14, Fayetteville, AR 72704-5791 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
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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.