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DR. KYLE THOMAS MOORE DC
NPI 1235711011
Chiropractor in Sun Prairie, WI

Active since April 22, 2021
1777 W MAIN ST, SUN PRAIRIE, WI 53590(608) 318-2410 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2021, Apr 22, 2021 (2 updates tracked since 2021).

About Dr. Kyle Thomas Moore Dc NPPES

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

DR. KYLE THOMAS MOORE DC (NPI 1235711011) is an individual chiropractor in Sun Prairie, Wisconsin, licensed in Wisconsin (5652-12) and active in the NPI registry since April 2021. He is a graduate of Life Chiropractic College (2021).

NPPES Registry Identity

NPI1235711011
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KYLE THOMAS MOORECredential: DC
Location Address1777 W MAIN STSun Prairie, WI 53590-3100
Mailing Address1777 W Main StSun Prairie, WI 53590-3100 · (608) 318-2410
Phone(608) 318-2410
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2021
Enumeration DateApril 22, 2021
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1235711011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5652-12
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.
1777 W MAIN ST, Sun Prairie, WI 53590
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle Thomas Moore Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335548429
PECOS Enrollment IDI20240716001146

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID SHOOK D.C.
Chiropractor
1777 W MAIN ST
SUN PRAIRIE, WI 53590
Dane County (608) 318-2410
DR. ZACHARY CHARLES GROFF DC
Chiropractor
1777 W MAIN ST
SUN PRAIRIE, WI 53590
Dane County (608) 318-2410

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 Kyle Moore's NPI number?

The NPI number for Kyle Moore is 1235711011. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Kyle Moore located?

Kyle Moore practices at 1777 W Main St, Sun Prairie, WI 53590. The listed phone number is (608) 318-2410.

What is Kyle Moore's specialty?

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

Is Kyle Moore enrolled in Medicare?

Yes. Kyle Moore is registered in the Medicare PECOS enrollment system.

What insurance does Kyle Moore accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Quartz list Kyle Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Moore was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.