Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962462903 Individual Practitioner Male Practitioner

Dr. Phillip Moore , DC

Chiropractor • Bald Knob, AR

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Moore, DC is a registered healthcare professional specializing in Chiropractor in Bald Knob, AR. Practice services are available at 3609 HIGHWAY 367 N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3609 Highway 367 N

Bald Knob, AR 720109404

Telephone 5017242202
Fax 5017242202
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Bald Knob, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Bald Knob, AR (730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License AR 1083

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
150110718 (AR)
Commercial Insurance / Payer ID Aetna
5187337 (AR)
Commercial Insurance / Payer ID Blue Cross
59073 (AR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2010

Registered at 3609 HIGHWAY 367 N, BALD KNOB, AR 720109404 (Tel: 5017242202)

📍
Updated Business Mailing Address August 30, 2010

Registered at PO BOX 1609, 3609 HWY 367 N, BALD KNOB, AR 720101609 (Tel: 5017242202)

👤
Provider Name / Credentials Updated August 30, 2010

Recorded as PHILLIP MOORE, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2010

Chiropractor (License #1083 in AR)

🟢
Initial NPI Registration & Enumeration March 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962462903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2006
Last Update: August 30, 2010
Sole Proprietor: Yes

Mailing Address

Po Box 1609, 3609 Hwy 367 N

Bald Knob, AR 720101609

Phone: 5017242202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.