DR. AMANDA J MOORE (NPI# 1750610812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750610812 |
| Entity Type | Individual |
| Full Name | DR. AMANDA J MOORE |
| Credential | D.C. |
| Practice Address |
8671 Northpark Ct Johnston IA 50131 |
| Practice Telephone | 5152782782 |
| Practice Fax Number | 5152780194 |
| Mailing Telephone | 5152782782 |
| Mailing Fax Number | 5152780194 |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 079481 | IA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 038011563 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566546 | Amanda Faye Moore | Technician | 609 Poplar Ridge Rd, Sutton, WV 26601-3851 | 2020-10-21 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1538654215 | Amanda L Moore | Counselor | 555 Sparkman Dr Nw Ste 1615, Huntsville, AL 35816-3431 | 2018-06-26 |
| 1659756294 | Amanda Moore | Nurse Practitioner | 10443 W Beier Rd, Oak Harbor, OH 43449-9548 | 2015-07-24 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1477811354 | Amanda Moore | Social Worker | 5812 Dinsmore Ln, Belmont, NC 28012-8692 | 2012-04-27 |
| 1033435656 | Amanda Marie Moore | Physician Assistant | 8 N Race St, Georgetown, DE 19947 | 2010-04-08 |
| 1053597195 | Amanda Moore | Midwife | 1955 Graham Dr, Eugene, OR 97405-1790 | 2008-01-19 |
| 1639366313 | Amanda Kay Moore | Occupational Therapist | 2313 19th Ave, Forest Grove, OR 97116-2421 | 2007-09-26 |
| 1225234941 | Amanda Moore | Registered Nurse | 1087 Old Courthouse Rd, Saluda, VA 23149-3068 | 2007-06-21 |
| Street Address |
8671 NORTHPARK CT |
| City | JOHNSTON |
| State | IA |
| Zip Code | 50131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407364532 | Omega Chiropractic Studio LLC | Chiropractor | 8671 Northpark Ct, Johnston, IA 50131-2888 | 2018-01-10 |
| 1205116993 | Shane Taffe | Chiropractor | 8671 Northpark Ct, Johnston, IA 50131-2888 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011229 | Joseph Barnard | Technician | 6406 Theresa Dr, Johnston, IA 50131 | 2019-09-05 |
| 1073098208 | Heather Nicole Prettyman | Social Worker | 5406 Marle Hay Rd., Johnston, IA 50131 | 2018-10-03 |
| 1982182606 | Dental Studio of Iowa PC | Dentist | 5495 Nw 100th Street, Johnston, IA 50131 | 2018-08-03 |
| 1982063921 | Braincare, LLC | Physiological Laboratory | 6165 Nw 86th St Ste 130, Johnston, IA 50131 | 2016-02-18 |
| 1104293570 | Sarah Michelle Fees | Nurse Practitioner | 8605 Chambery Blvd, Johnston, IA 50131 | 2015-09-01 |
| 1013329978 | Jonathan Jeffrey Karch | Dentist | 5495 Nw 100th St, Johnston, IA 50131 | 2014-05-27 |
| 1053757500 | Patricia L Hart | Social Worker | 6061 Bradford Ln, Johnston, IA 50131 | 2013-05-10 |
| 1205105855 | Lesile Jane Mentele | Pharmacist | 6100 Nw 97th St, Johnston, IA 50131 | 2011-12-27 |
| 1225293426 | Center for Maximized Living, LLC | Chiropractor | 8671 Northpark Ct., Johnston, IA 50131 | 2008-07-28 |
| 1730380361 | Wesley Community Services, Inc. | Hospice Care, Community Based | 5508 Nw 88th Street, Johnston, IA 50131 | 2007-05-30 |
| Find all providers in zip 50131 | ||||
| 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 |
|---|---|---|---|---|
| 1821659210 | Joshua R Lancellotti | Chiropractor | 1524 Atwood Ave Ste 210a, Johnston, RI 02919-3228 | 2019-06-26 |
| 1598195349 | Walton A Smith | Chiropractor | 101 Slide Hill Rd, Johnston, SC 29832-1359 | 2013-11-14 |
| 1548543754 | Kyle Matthew Ellensohn | Chiropractor | 6110 Nw 86th St, Suite 102, Johnston, IA 50131-2257 | 2011-09-23 |
| 1558658641 | Nathan Andrew Hinkeldey | Chiropractor | 5619 Nw 86th St, Suite 400, Johnston, IA 50131-1819 | 2011-07-08 |
| 1043503493 | Carolus Chiropractic & Wellness Center | Chiropractor | 5765 Merle Hay Rd Ste 10, Johnston, IA 50131-2810 | 2011-05-18 |
| 1780901363 | Michael Anthony Pezza | Chiropractor | 1 Harding Ave, Johnston, RI 02919-5010 | 2010-04-22 |
| 1417180829 | Active Wellness Chiropractic & Rehabilitation, LLC. | Chiropractor | 8711 Windsor Pkwy Ste 7, Johnston, IA 50131-2296 | 2009-09-01 |
| 1922238211 | Aaron Dwight Rector | Chiropractor | 8711 Windsor Pkwy, Suite 7, Johnston, IA 50131-2296 | 2009-07-21 |
| 1225293426 | Center for Maximized Living, LLC | Chiropractor | 8671 Northpark Ct., Johnston, IA 50131 | 2008-07-28 |
| 1720247398 | Schultz Chiropractic Wellness Zone, P.C. | Chiropractor | 5850 Nw 62nd Ave, Johnston, IA 50131-1537 | 2008-06-08 |
| Find all providers in JOHNSTON | ||||
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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.