MOORE IMBIBITION LLC
NPI 1720628282
Chiropractor in Tahlequah, OK
About Moore Imbibition Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOORE IMBIBITION LLC (NPI 1720628282) is a healthcare organization registered as a chiropractor in Tahlequah, Oklahoma and active in the NPI registry since January 2020. The organization lists Seth Moore, Dr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moore Imbibition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Moore Imbibition LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Moore Imbibition LLC's NPI number?
The NPI number for Moore Imbibition LLC is 1720628282. It was assigned to this organization in the NPPES registry on January 13, 2020.
Where is Moore Imbibition LLC located?
Moore Imbibition LLC is located at 401 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 456-1300.
What is Moore Imbibition LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Moore Imbibition LLC enrolled in Medicare?
Yes. Moore Imbibition LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moore Imbibition LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Moore Imbibition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Moore Imbibition LLC was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Moore Imbibition Llc · NPI 1720628282
Chiropractor organization in Tahlequah, Oklahoma. Organization record, active in the CMS NPPES registry since January 13, 2020.
## Identity
- **NPI:** 1720628282 (Entity type: Organization)
- **Enumerated:** January 13, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Seth Moore, DR
## Practice location
- **Address:** 401 E DOWNING ST, Tahlequah, OK 74464-3015
- **Phone:** (918) 456-1300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1720628282) · Data from the CMS NPPES public registry.