Organization Active NPI

Moulds Chiropractic LLC

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1083656565
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8429 Issued in FL
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Dr. Ryan Moulds, D.C.NPI 1962699223
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH8429 FL Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
MM13927OtherFLSTATE LICENSE
381696600MedicaidFL
CH8429OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.