DR. JEDEDIAH MOORE D.C.
NPI 1811246192
Chiropractor in Elk River, MN

Active since September 02, 2012Accepts Medicare Assignment
19332 HIGHWAY 169, ELK RIVER, MN 55330(763) 441-7788 Get Directions Write a Review

NPPES record last updated: September 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jedediah Moore D.c. NPPES

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

DR. JEDEDIAH MOORE D.C. (NPI 1811246192) is an individual chiropractor in Elk River, Minnesota, licensed in Minnesota (5700) and active in the NPI registry since September 2012. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1811246192
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEDEDIAH MOORECredential: D.C.
Location Address19332 HIGHWAY 169Elk River, MN 55330-4645
Mailing Address19332 Highway 169Elk River, MN 55330-4645
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 2, 2012
NPI 1811246192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 5700
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.
19332 HIGHWAY 169, Elk River, MN 55330

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jedediah Moore D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618128760
PECOS Enrollment IDI20121119000319

Other Providers at the Same Location NPPES 3

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

Chiropractor
19332 HIGHWAY 169
ELK RIVER, MN 55330
Chiropractor
19332 HIGHWAY 169
ELK RIVER, MN 55330
Chiropractor
19332 HIGHWAY 169
ELK RIVER, MN 55330

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 Jedediah Moore's NPI number?

The NPI number for Jedediah Moore is 1811246192. It was assigned to this individual provider in the NPPES registry on September 2, 2012.

Where is Jedediah Moore located?

Jedediah Moore practices at 19332 Highway 169, Elk River, MN 55330. The listed phone number is (763) 441-7788.

What is Jedediah Moore's specialty?

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

Is Jedediah Moore enrolled in Medicare?

Yes. Jedediah Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jedediah Moore accept?

Health plans from HealthPartners and Medica list Jedediah 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 Jedediah Moore was last updated on September 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.