ETHAN MOORE D.C.
NPI 1205568730
Chiropractor in Waterford, PA

Q: What is Ethan Moore's NPI number?

The NPI number for Ethan Moore is 1205568730. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Q: What is Ethan Moore's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Moore was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2022

991 ROUTE 19 N STE C, WATERFORD, PA 16441(814) 679-6200 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ethan Moore D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN MOORE D.C. (NPI 1205568730) is an individual chiropractor in Waterford, Pennsylvania, licensed in Pennsylvania (DC011737) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1205568730

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameETHAN MOORECredential: D.C.

Location Address991 ROUTE 19 N STE CWaterford, PA 16441-9739

Mailing Address991 Route 19 N Ste CWaterford, PA 16441-9739 · (814) 679-6200

Phone(814) 679-6200

Sole ProprietorYes

Enumeration DateJune 24, 2022

NPPES CertifiedJune 24, 2022

✔ NPI 1205568730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in PA · DC011737

Definition

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.

991 ROUTE 19 N STE C, Waterford, PA 16441

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Moore's NPI number?

The NPI number for Ethan Moore is 1205568730. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Ethan Moore located?

Ethan Moore practices at 991 Route 19 N Ste C, Waterford, PA 16441. The listed phone number is (814) 679-6200.

What is Ethan Moore's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ethan Moore was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.