Individual provider Active NPI

Dustin H. Moses, D.C.

  • Chiropractor
  • Shawnee, KS
National Provider Identifier
1073991998
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105707 Issued in KS
Practice address
15945 W 65TH St
Shawnee, KS 66217-9342
Phone
(913) 766-7292
Fax
(913) 766-3780
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0105707 KS Primary

Addresses

Primary practice location

15945 W 65TH St
Shawnee, KS 66217-9342

Mailing address

15945 W 65TH St
Shawnee, KS 66217-9342
Phone (913) 766-7292

Other practice location 1

4711 Mission Rd
Westwood, KS 66205-1626
Phone (913) 432-5678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150626000271 KS Practitioner - Chiropractic 3072824465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Motion Chiropractic and Rehab LLCGroup PAC ID 1153628540, 2 clinicians

Practice addresses (Care Compare)

15945 W 65TH St
Shawnee, KS 66217-9342
Phone (913) 766-7292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0105707KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Motion Chiropractic & Rehab, LLC Chiropractor CurrentSince Feb 3, 2016 Accepting new patients

Locations

15945 W 65th St
Shawnee, KS 66217
Phone (316) 249-5555

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.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1073991998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179342",
            "telephone_number": "913-766-7292",
            "fax_number": "913-766-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179342",
            "telephone_number": "913-766-7292",
            "fax_number": "913-766-3780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4711 Mission Rd",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "KS",
            "postal_code": "662051626",
            "country_code": "US",
            "telephone_number": "913-432-5678",
            "fax_number": "913-236-8726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "DUSTIN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.