Moxon Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3019 - 012 Issued in WI

Legal business name

MOXON CHIROPRACTIC, S.C.

Practice address

93 S Pioneer Rd
200
Fond Du Lac, WI 54935-3873

Phone

(920) 907-1283

Fax

(920) 907-1285

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard Lee Moxon, D.C.NPI 1437289972

Title

President/Doctor

Phone

(920) 907-1283

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Richard Lee Moxon, DC CCEP

  • Chiropractor
  • Fond Du Lac, WI
  • NPI 1437289972
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1154594059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 S PIONEER RD",
            "address_2": "PO BOX 1776",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353873",
            "telephone_number": "920-907-1283",
            "fax_number": "920-907-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 S PIONEER RD",
            "address_2": "200",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353873",
            "telephone_number": "920-907-1283",
            "fax_number": "920-907-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOXON CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "MOXON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "920-907-1283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3019 - 012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38880600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U49065",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Mounir Nassif Morcos, PHARMD
• Kathleen Ann Morgan, MS, LPC
• Leslie R Moser, AUD
• Jeanne M Mossberger, APNP
• Kelly A Mowell, D.V.M.
• Richard Lee Moxon, DC CCEP
• Shelly M Muche, OTR
• Aaron Jacob Muchenberger
• Joan Louise Mueller, MD
• Jay R Muller, MD

• Chiropractor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.