Organization Active NPI

Kyle Moser DC LLC

  • Chiropractor
  • Arroyo Grande, CA
National Provider Identifier
1104293117
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1259 Issued in HI
Legal business name
KYLE MOSER DC LLC
Practice address
130 S Halcyon Rd Ste B
Arroyo Grande, CA 93420-3148
Phone
(805) 481-8508
Fax
(805) 481-6839
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Authorized official

Name
Dr. Kyle Moser, D.C.
Title
Ceo/Owner
Phone
(805) 709-5343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1259 HI Primary

Addresses

Primary practice location

130 S Halcyon Rd Ste B
Arroyo Grande, CA 93420-3148

Mailing address

130 S Halcyon Rd Ste B
Arroyo Grande, CA 93420-3148
Phone (805) 481-8508

Other practice location 1

407 Uluniu St Ste 311
Kailua, HI 96734-2544
Phone (805) 709-5343

Other names 1

  • Kyle Moser DC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583020800000",
    "number": "1104293117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S HALCYON RD STE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203148",
            "telephone_number": "805-481-8508",
            "fax_number": "805-481-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S HALCYON RD STE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203148",
            "telephone_number": "805-481-8508",
            "fax_number": "805-481-6839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Uluniu St Ste 311",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967342544",
            "country_code": "US",
            "telephone_number": "805-709-5343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KYLE MOSER DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "805-709-5343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kyle Moser DC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kyle Moser DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; 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.