PATRICK DALE MOORE (NPI# 1487725487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487725487 |
| Entity Type | Individual |
| Full Name | PATRICK DALE MOORE |
| Credential | D.C. |
| Practice Address |
8258 Rockville Road Indianapolis IN 46214-0000 |
| Mailing Address |
502 E Market St Crawfordsville IN 47933-1817 |
| Practice Telephone | 3174295400 |
| Practice Fax Number | 3174295401 |
| Mailing Telephone | 7653621500 |
| Mailing Fax Number | 7653618919 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001595 | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000344411 | 01 |
| IN | AETNA | 5288041 | 01 |
| IN | CARESOURCE | 201466872100 | 01 |
| IN | TAX ID | 201466872 | 01 |
| IN | 200043740A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740617968 | Patrick Joseph Moore | Anesthesiology | 5500 State Road 111, New Albany, IN 47150-9009 | 2013-10-02 |
| 1720338890 | Patrick James Moore | Massage Therapist | 109 S Summit Ave, Bremerton, WA 98312-4119 | 2012-09-14 |
| 1598068595 | Patrick W Moore | Counselor | 5150 Penn Avenue, Pittsburgh, PA 15224-1626 | 2010-12-13 |
| 1811168610 | Patrick Seth Moore | Pharmacist | 220 E Crestwood Ct, Gallup, NM 87301-7120 | 2008-03-19 |
| 1871653899 | Patrick Moore | Dentist | 21970 Bulverde Rd Ste 100, San Antonio, TX 78259-2179 | 2006-12-11 |
| 1811066046 | Patrick Michael Moore | Dentist | 2232 St Clair Ave, East Liverpool, OH 43920-1437 | 2006-11-06 |
| 1497789036 | Patrick Brett Moore | Dentist | 6340 N Chatham Ave, Kansas City, MO 64151-2473 | 2006-07-10 |
| 1558321505 | Patrick Daniel Moore | Podiatrist | 3811 29th Ave, Ste3, Kearney, NE 68845-1280 | 2006-03-24 |
| 1982604419 | Patrick Devincent Moore | Family Medicine | 3414 Moss St, Suite F&g, Lafayette, LA 70507-6107 | 2005-07-27 |
| 1669089090 | Patrick Moore | Pharmacist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2020-09-29 |
| Street Address |
8258 ROCKVILLE ROAD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46214-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982882098 | Tri-state Surgical Services, LLC | Clinic/Center | 8206 Rockville Rd, Suite 132, Indianapolis, IN 46214 | 2008-01-31 |
| 1154508075 | Joe Edward Banks | Family Medicine | 900 N High School Rd, Indianapolis, IN 46214 | 2008-01-22 |
| 1003948365 | Catrissa R Hilson | Social Worker | 6804 Idlewood Trail, #602, Indianapolis, IN 46214 | 2007-03-12 |
| 1811025224 | Help At Home, Inc | Nursing Care | 650 North Girl School Road, Suite C35, Indianapolis, IN 46214 | 2007-02-28 |
| 1942358007 | Daniel Gomes | Dentist | 8235 Country Village Dr, Indianapolis, IN 46214 | 2007-01-08 |
| 1871658070 | Kurt Robert Gossweiler | Dentist | 7901 Crawfordsville Rd, Ste E, Indianapolis, IN 46214 | 2006-12-27 |
| 1649380452 | Rockville Road Dentistry | Dentist | 6355 Rockville Road, Indianapolis, IN 46214 | 2006-08-30 |
| 1326035718 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 3017 Valley Farms Rd, Indianapolis, IN 46214 | 2005-09-30 |
| 1104341403 | Jacob Ready | Pharmacist | 7235 W 10th St, Indianapolis, IN 46214 | 2017-08-08 |
| 1821397779 | Avon Physical Medicine Inc | Physical Medicine & Rehabilitation | 8258 Rockville Rd, Indianapolis, IN 46214 | 2011-03-17 |
| Find all providers in zip 46214 | ||||
| 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 |
|---|---|---|---|---|
| 1235737552 | Molly Vyzral | Chiropractor | 8770 Guion Rd Ste L, Indianapolis, IN 46268-3017 | 2020-10-09 |
| 1912529082 | Traci Gross | Chiropractor | 1460 W 86th St, Indianapolis, IN 46260-2181 | 2020-05-12 |
| 1154954972 | James Mccluskey | Chiropractor | 5935 Grandiose Dr, Indianapolis, IN 46228-4308 | 2020-02-20 |
| 1417587890 | Abigail Wade | Chiropractor | 6155 N Keystone Ave Ste 700, Indianapolis, IN 46220-1485 | 2020-01-24 |
| 1689204174 | Jennifer Brenneisen | Chiropractor | 971 N Delaware St, Indianapolis, IN 46202-3377 | 2020-01-23 |
| 1467082198 | Arden Burch | Chiropractor | 5111 E 65th St, Indianapolis, IN 46220-4816 | 2020-01-22 |
| 1053951137 | Restoration Family Chiropractic | Chiropractor | 5915 S Emerson Ave Ste 400, Indianapolis, IN 46237-1972 | 2020-01-07 |
| 1700432002 | Carter Yoder Chiropractic LLC | Chiropractor | 7855 S Emerson Ave Ste Q, Indianapolis, IN 46237-8669 | 2019-08-13 |
| 1750935946 | Chiro One Wellness Center of Indianapolis North LLC | Chiropractor | 6612 E 75th St Ste 110, Indianapolis, IN 46250-2821 | 2019-07-26 |
| 1376026393 | Eric Anthony Wolf | Chiropractor | 410 S Mitthoeffer Rd, Indianapolis, IN 46229-3058 | 2018-09-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46214 |
Please comment or provide details below to improve the information on PATRICK DALE MOORE.
| 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.