Individual provider Active NPI

Susan Owen Moss, DC

  • Chiropractor
  • Kingwood, TX
National Provider Identifier
1053305433
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7873 Issued in TX
Practice address
4306 Echo Falls Dr
Kingwood, TX 77345-1046
Phone
(281) 799-7291
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7873 TX Primary

Addresses

Primary practice location

4306 Echo Falls Dr
Kingwood, TX 77345-1046

Mailing address

4306 Echo Falls Dr
Kingwood, TX 77345-1046
Phone (281) 799-7291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000086 TX Practitioner - Chiropractic 5991842965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1210 Stonehollow Dr
Kingwood, TX 77339-1789
Phone (281) 358-7101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7873TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Moss Family Chiropractic, PLLC Chiropractor CurrentSince Jan 2, 2020 Accepting new patients
LCHC Inc Chiropractor PastSince Jul 1, 2009 Accepting new patients
M & B Chiropractic, P.a. Chiropractor PastSince May 15, 2004 Accepting new patients

Locations

1380 Stonehollow Dr
Kingwood, TX 77339
Phone (281) 358-7101

1210 Stonehollow Dr
Kingwood, TX 77339
Phone (281) 312-4434

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1053305433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 ECHO FALLS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773451046",
            "telephone_number": "281-799-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 ECHO FALLS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773451046",
            "telephone_number": "281-799-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "SUSAN",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.