Moscow Health and Wellness Center, P.L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1387 Issued in ID

Legal business name

MOSCOW HEALTH AND WELLNESS CENTER, P.L.L.C.

Practice address

317 W 6TH St Ste 206
Moscow, ID 83843-2387

Phone

(310) 740-6141

NPI assigned

Nov 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Bailey Lynn Smith, D.C.

Title

Doctor of Chiropractic

Phone

(310) 740-6141

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1134456031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W 6TH ST STE 206",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 6TH ST STE 206",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432387",
            "telephone_number": "310-740-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSCOW HEALTH AND WELLNESS CENTER, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "310-740-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1387",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Morse, PHARM D
• Moscow Charter School
• Moscow Charter School
• Moscow Chiropractic Clinic
• Moscow Family Eye Care Inc. (Moscow Family Eye Care)
• Moscow Medical, P.a.
• Moscow Mountain Anesthesia, PLLC
• Moscow North of Cascadia, LLC (Paradise Creek Health and Rehabilitation of Cascadia)
• Moscow of Cascadia, LLC (Aspen Park of Cascadia)
• Moscow of Olympus LLC

• Chiropractor in Moscow, ID
• Providers in Moscow, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.