Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Camilla Susan Moore, DC

Individual provider Chiropractor · NPI 1639345283

Dr. Camilla Susan Moore, DC is a Chiropractic in Providence, Rhode Island. Graduated from New York Chiropractic College in 2008, 18 years ago. Practices with Edwards Health LLC, a 2-clinician group. Licensed in Massachusetts.

Years since qualifying
18
Trained at
New York Chiropractic College
Licensed in
MA
In the registry since
2008
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

144 Waterman St Ste 2
Providence, RI 02906-2126
Phone: (401) 396-2010
Fax: (410) 466-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3187 (MA)

Record details

NPI number1639345283
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 5, 2008
Last updated in NPPESApril 15, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNEW YORK CHIROPRACTIC COLLEGE
Graduated 2008 (18 years in practice)
Group practice Edwards Health Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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