Individual provider Active NPI

Ronald Budd Moussette Jr., DC

  • Chiropractor
  • Lady Lake, FL
National Provider Identifier
1003915257
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003522 Issued in FL
Practice address
712 S US Highway 441
Lady Lake, FL 32159-4540
Phone
(352) 750-5310
Fax
(352) 259-0734
NPI assigned
Sep 22, 2006
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003522 FL Primary

Addresses

Primary practice location

712 S US Highway 441
Lady Lake, FL 32159-4540

Mailing address

712 S 441
Lady Lake, FL 32159
Phone (352) 750-5310

Other identifiers 1

IdentifierTypeStateIssuer
88756OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0003522FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Spine and Sport, LLC Chiropractor PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1003915257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S 441",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-750-5310",
            "fax_number": "352-259-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S US HIGHWAY 441",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594540",
            "telephone_number": "352-750-5310",
            "fax_number": "352-259-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSETTE",
        "first_name": "RONALD",
        "middle_name": "BUDD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88756",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.