Martin R Moffett, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009210 Issued in IL

Practice address

607 W Oak St
West Frankfort, IL 62896-2537

Phone

(618) 937-3509

Fax

(618) 937-3500

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MRM Chiropractic LLC

  • Chiropractor
  • West Frankfort, IL
  • NPI 1134374069
  Medicare reassignment Authorized official
• Back-N-Action Chiropractic Health Center LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1730232604

  Chiropractor

  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1144373010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W OAK ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962537",
            "telephone_number": "618-937-3509",
            "fax_number": "618-937-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W OAK ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962537",
            "telephone_number": "618-937-3509",
            "fax_number": "618-937-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "MARTIN",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PIN",
            "identifier": "929137",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS PIN",
            "identifier": "2832034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Minor
• Nicholas Minor, PHARM D
• Beverly Mitchell
• Lindsey Anne Modglin, BS
• Moffett Chiropractic
• Ariel Moore
• Lyndsey Alecia Moore, M.S.W Q.M.H.P
• Aaron Morehead
• Carri Morris
• Matthew Lee Morris, OT

• Chiropractor in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.