Organization Active NPI

Moser Chiropractic Inc

  • Chiropractor
  • Arroyo Grande, CA
National Provider Identifier
1114564283
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOSER CHIROPRACTIC INC
Practice address
130 S Halcyon Rd Ste B
Arroyo Grande, CA 93420-3148
Phone
(805) 481-8508
NPI assigned
Dec 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Dr. Kyle Moser, DCNPI 1386080885
Title
Pres
Phone
(805) 709-5343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200811000963 CA Part B Supplier - Clinic/Group Practice 9234554015 Receives reassigned benefits from 1 practitioner
Practice locations: Arroyo Grande, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1114564283",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "805-709-5343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.