Moises Amet Hernandez Cordero, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03983 Issued in MD

Practice address

13627 Baltimore Ave # 4
Laurel, MD 20707-5095

Phone

(301) 708-0888

Fax

(301) 431-0010

NPI assigned

Sep 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1164072377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13627 BALTIMORE AVE # 4",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075095",
            "telephone_number": "301-708-0888",
            "fax_number": "301-431-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13627 BALTIMORE AVE # 4",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075095",
            "telephone_number": "301-708-0888",
            "fax_number": "301-431-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CORDERO",
        "first_name": "MOISES",
        "middle_name": "AMET",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Henry
• Valerie Denise Herbert, PTA
• Joseph A Herbst, D.D.S.
• Ronald Herbst, MPT
• Jennifer Ann Herlihy, MA, CCC-SLP
• Lidia Ester Hernandez
• Julia Catherine Hershey, MS, CCC-SLP
• Iyonna Hester
• Hesyra Medical Associates LLC
• Tina Marie Heyward, CRNP

• Chiropractor in Laurel, MD
• Providers in Laurel, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.