Active NPI
Cody Moss, DC
- Chiropractor
- Tacoma, WA
National Provider Identifier
1083112957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH61196429
- Practice address
- 2201 N 30TH St C
Tacoma, WA 98403 - Phone
- (253) 254-5737
- NPI assigned
- Jan 25, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH61196429 | WA | Primary |
Addresses
Primary practice location
2201 N 30TH St C
Tacoma, WA 98403
Mailing address
2201 N 30TH St C
Tacoma, WA 98403
Phone (253) 254-5737
Other practice location 1
660 G St Ste A
Jacksonville, OR 97530
Phone (712) 842-8639
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1083112957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 N 30TH ST C",
"city": "TACOMA",
"state": "WA",
"postal_code": "98403",
"telephone_number": "253-254-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 N 30TH ST C",
"city": "TACOMA",
"state": "WA",
"postal_code": "98403",
"telephone_number": "253-254-5737"
}
],
"practiceLocations": [
{
"address_1": "660 G St Ste A",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "OR",
"postal_code": "97530",
"country_code": "US",
"telephone_number": "712-842-8639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSS",
"first_name": "CODY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-25",
"last_updated": "2023-07-03",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH61196429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.