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ANDREW W MOORE DC PC
NPI 1467716324
Chiropractor in San Antonio, TX

Active since June 26, 2012
8507 MCCULLOUGH AVE, SUITE A-1, SAN ANTONIO, TX 78216(210) 525-9063(210) 308-0494 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrew W Moore Dc Pc NPPES

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

ANDREW W MOORE DC PC (NPI 1467716324) is a healthcare organization registered as a chiropractor in San Antonio, Texas and active in the NPI registry since June 2012. The organization lists Andrew W Moore, Dc/owner, as its authorized official.

NPPES Registry Identity

NPI1467716324
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameANDREW W MOORE DC PC
Location Address8507 MCCULLOUGH AVE, SUITE A-1San Antonio, TX 78216-6458
Mailing Address8507 Mccullough Ave, Suite A-1San Antonio, TX 78216-6458 · (210) 525-9063 · Fax (210) 308-0494
Phone(210) 525-9063
Fax(210) 308-0494
Organization SubpartNo
Authorized OfficialAndrew W MooreDc/owner · (210) 525-9063
Enumeration DateJune 26, 2012
✔ NPI 1467716324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 4749
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.
8507 MCCULLOUGH AVE, San Antonio, TX 78216
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Other Identifiers 1

Medicare PIN601888TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew W Moore Dc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20120910000335Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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. AMANDA LEE D.C.
Chiropractor
8507 MCCULLOUGH AVE, SUITE A-1
SAN ANTONIO, TX 78216
Bexar County (210) 865-9180
MR. ROBERT BOND BC-HIS
Hearing Instrument Specialist
8507 MCCULLOUGH AVE, D-9
SAN ANTONIO, TX 78216
Bexar County (210) 349-5999

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 Andrew W Moore Dc PC's NPI number?

The NPI number for Andrew W Moore Dc PC is 1467716324. It was assigned to this organization in the NPPES registry on June 26, 2012.

Where is Andrew W Moore Dc PC located?

Andrew W Moore Dc PC is located at 8507 Mccullough Ave Suite A-1, San Antonio, TX 78216. The listed phone number is (210) 525-9063.

What is Andrew W Moore Dc PC's specialty?

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

Is Andrew W Moore Dc PC enrolled in Medicare?

Yes. Andrew W Moore Dc PC is registered in the Medicare PECOS enrollment system.

When is Andrew W Moore Dc PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Andrew W Moore Dc PC was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.