CHRISTOPHER JOHN MOORE
NPI 1679374920
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC
About Christopher John Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTOPHER JOHN MOORE (NPI 1679374920) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christopher John Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
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 Christopher Moore's NPI number?
The NPI number for Christopher Moore is 1679374920. It was assigned to this individual provider in the NPPES registry on March 22, 2025.
Where is Christopher Moore located?
Christopher Moore practices at 809 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 692-3499.
What is Christopher Moore's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Christopher Moore enrolled in Medicare?
Yes. Christopher Moore is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Christopher Moore was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Christopher John Moore · NPI 1679374920
Student in an Organized Health Care Education/Training Program provider in Myrtle Beach, South Carolina. Individual provider, active in the CMS NPPES registry since March 22, 2025.
## Identity
- **NPI:** 1679374920 (Entity type: Individual)
- **Enumerated:** March 22, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 809 82ND PKWY, Myrtle Beach, SC 29572-4607
- **Phone:** (843) 692-3499
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679374920) · Data from the CMS NPPES public registry.