Organization Active NPI

Moulds Chiropractic LLC

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1104103472
Registry record updated Nov 14, 2011
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
5599 N W St
Pensacola, FL 32505-2447
Phone
(850) 435-9200
Fax
(850) 435-9922
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Dr. Ryan L Moulds, D.C.
Title
Owner
Phone
(850) 435-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8429 FL Primary

Addresses

Primary practice location

5599 N W St
Pensacola, FL 32505-2447

Mailing address

5599 N W St
Pensacola, FL 32505-2447
Phone (850) 435-9200

National Provider Directory

National Provider Directory

Locations

5599 N W St
Pensacola, FL 32505
Phone (850) 432-3484

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1104103472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5599 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052447",
            "telephone_number": "850-435-9200",
            "fax_number": "850-435-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5599 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052447",
            "telephone_number": "850-435-9200",
            "fax_number": "850-435-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULDS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "MOULDS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-435-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8429",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 14, 2011; 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.