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Deactivated NPI 1184792582 Deactivated / Inactive NPI Male Practitioner

Dr. Earl Moore , DC

Chiropractor • Crestview, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Earl Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2006
NPI Deactivation Date April 04, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Earl Moore, DC was a registered Chiropractor practicing in Crestview, FL. Throughout an active medical career spanning 16 years, Dr. Moore provided care at the practice location at 502 S FERDON BLVD until profile deactivation on 2022-04-04.

Practice Location & Contact Primary Location

Practice Address

502 S Ferdon Blvd
Suite B

Crestview, FL 325364238

Telephone 8506828550
Fax 8506828594
Associated Practice Facility / Clinic
🏢 White Sands Podiatry Llc Facility NPI 1659765865

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Crestview, FL (7309 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 FL CH8711

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 04, 2022

Record deactivated on April 04, 2022

NPI Profile Active December 09, 2010

NPI status registered as active in NPPES database

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Updated Practice Location December 09, 2010

Registered at 502 S FERDON BLVD, SUITE B, CRESTVIEW, FL 325364238 (Tel: 8506828550)

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Updated Business Mailing Address December 09, 2010

Registered at 502 S FERDON BLVD, SUITE B, CRESTVIEW, FL 325364238 (Tel: 8506828550)

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Provider Name / Credentials Updated December 09, 2010

Recorded as EARL MOORE, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2010

Chiropractor (License #CH8711 in FL)

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Initial NPI Registration & Enumeration December 01, 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: 1184792582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: December 09, 2010
Deactivation Date: April 04, 2022

Mailing Address

502 S Ferdon Blvd, Suite B

Crestview, FL 325364238

Phone: 8506828550

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.