Active NPI
Moulds Chiropractic LLC
- Chiropractor
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8429
- Legal business name
- MOULDS CHIROPRACTIC LLC
- Practice address
- 6266 N W St
Pensacola, FL 32505-1903 - Phone
- (850) 465-3252
- Fax
- (850) 465-3254
- NPI assigned
- Jun 11, 2006
- Last updated
- Mar 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Moulds, D.C.
- Title
- Owner
- Phone
- (850) 449-8855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8429 | FL | Primary |
| Massage Therapist | 225700000X | MM13927 | FL |
Addresses
Primary practice location
6266 N W St
Pensacola, FL 32505-1903
Mailing address
6266 N W St
Pensacola, FL 32505-1903
Phone (850) 465-3252
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MM13927 | Other | FL | STATE LICENSE |
| 381696600 | Medicaid | FL | |
| CH8429 | Other | FL | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
4006 N 9th Ave
Pensacola, FL 32503
Phone (850) 432-3484
6266 N W St
Pensacola, FL 32505
Phone (850) 465-3252
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Pensacola, FL
- NPI 1962699223
-
- Physical Therapist
- Jacksonville, FL
- NPI 1043558851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615161600000",
"number": "1083656565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6266 N W ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325051903",
"telephone_number": "850-465-3252",
"fax_number": "850-465-3254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6266 N W ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325051903",
"telephone_number": "850-465-3252",
"fax_number": "850-465-3254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOULDS CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A",
"authorized_official_last_name": "MOULDS",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-449-8855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8429",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MM13927",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MM13927",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381696600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CH8429",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.