Active NPI
William Robert Moyal, D.C., C.C.S.P.
- Sports Physician Chiropractor
- Miami Beach, FL
National Provider Identifier
1053535070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH5146
- Practice address
- 940 Lincoln Rd
Suite 311
Miami Beach, FL 33139-2627 - Phone
- (305) 531-2933
- Fax
- (305) 531-2393
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH5146 | FL | Primary |
Addresses
Primary practice location
940 Lincoln Rd
Suite 311
Miami Beach, FL 33139-2627
Mailing address
940 Lincoln Rd
Suite 311
Miami Beach, FL 33139-2627
Phone (305) 531-2933
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH5146 | FL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polo Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Boca Raton, FL
- NPI 1003814187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053535070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 LINCOLN RD",
"address_2": "SUITE 311",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331392627",
"telephone_number": "305-531-2933",
"fax_number": "305-531-2393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 LINCOLN RD",
"address_2": "SUITE 311",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331392627",
"telephone_number": "305-531-2933",
"fax_number": "305-531-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYAL",
"first_name": "WILLIAM",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C., C.C.S.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "CH5146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.