Organization Active NPI

Jason D Moyle, PLLC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1134498231
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7874 Issued in AZ
Legal business name
JASON D MOYLE, PLLC
Practice address
3275 W Ina Rd
Ste 103
Tucson, AZ 85741-2151
Phone
(520) 219-7139
Fax
(520) 297-8838
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Jason Daniel Moyle, DC
Title
Owner
Phone
(520) 219-7139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7874 AZ Primary

Addresses

Primary practice location

3275 W Ina Rd
Ste 103
Tucson, AZ 85741-2151

Mailing address

3275 W Ina Rd
Ste 103
Tucson, AZ 85741-2151
Phone (520) 861-8109

Other identifiers 1

IdentifierTypeStateIssuer
1255525887OtherAZNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

3275 W Ina Rd
Ste 103
Tucson, AZ 85741
Phone (520) 219-7139

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1134498231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 W INA RD",
            "address_2": "STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412151",
            "telephone_number": "520-861-8109",
            "fax_number": "520-297-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 W INA RD",
            "address_2": "STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412151",
            "telephone_number": "520-219-7139",
            "fax_number": "520-297-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON D MOYLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "MOYLE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-219-7139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1255525887",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.