Trudy Moon Eisel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006616 Issued in FL

Practice address

1190 Pine Ridge Rd
Suite 1
Naples, FL 34108-8914

Phone

(239) 261-1387

Fax

(239) 263-8780

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Trudy Moon Eisel, D.C., P.a.

  • Chiropractor
  • Naples, FL
  • NPI 1841421013
  Medicare reassignment NPD
• George R. Moon DC PA

  • Chiropractor
  • Naples, FL
  • NPI 1437339132
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1033205489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 PINE RIDGE RD",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088914",
            "telephone_number": "239-261-1387",
            "fax_number": "239-263-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 PINE RIDGE RD",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088914",
            "telephone_number": "239-261-1387",
            "fax_number": "239-263-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON EISEL",
        "first_name": "TRUDY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "22989",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "22989Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montilla & Martinez, Inc.
• Juan David Montoya Cortes
• Janet Montoya
• Chris Alan Moody, DDS
• Joan L Mooganzuckerman, CRNA
• George R Moon, D.C.
• Maria Alexandra Moon, ARNP
• Robert L Moon, D.C.
• Daniel Moore, P.A.
• Janice Bracy Moore

• Chiropractor in Naples, FL
• Providers in Naples, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.