Individual provider Active NPI

Kevin Moc, DC

  • Chiropractor
  • Mountain View, CA
National Provider Identifier
1073145827
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34623 Issued in CA
Practice address
838 W Dana St Ste a
Mountain View, CA 94041-1219
Phone
(626) 551-8037
NPI assigned
Feb 10, 2020
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34623 CA Primary

Addresses

Primary practice location

838 W Dana St Ste a
Mountain View, CA 94041-1219

Mailing address

134 Brenton CT Unit B
Mountain View, CA 94043-4908
Phone (626) 551-8037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112000687 CA Practitioner - Chiropractic 1850729666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

838 W Dana St
Mountain View, CA 94041-1219
Phone (650) 470-9375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34623CAMDChiropractor
14358TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Moc Chiropractic Corp Chiropractor CurrentSince Oct 1, 2021 Accepting new patients

Locations

838 W Dana St
Mountain View, CA 94041
Phone (415) 481-5475

838 W Dana St
Ste A
Mountain View, CA 94041
Phone (626) 551-8037

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, 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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1073145827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BRENTON CT UNIT B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940434908",
            "telephone_number": "626-551-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 W DANA ST STE A",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411219",
            "telephone_number": "626-551-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOC",
        "first_name": "KEVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.