Moises Requena Garza, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60914367 Issued in WA

Practice address

1487 NE Dawn Rd
Bremerton, WA 98311-3122

Phone

(360) 373-8899

Fax

(360) 373-8891

NPI assigned

Oct 22, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

Locations

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.

• Smith Chiropractic Inc

  • Chiropractor
  • Bremerton, WA
  • NPI 1164757555

  Single Specialty

  NPD

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1174122915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 NE DAWN RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113122",
            "telephone_number": "360-373-8899",
            "fax_number": "360-373-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 NE DAWN RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113122",
            "telephone_number": "360-373-8899",
            "fax_number": "360-373-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "MOISES",
        "middle_name": "REQUENA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60914367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Gardner
• Kassidy Lea Garguile
• Shannon Garner, LPN
• Alan D Garrigus
• Cecilla Garrison
• Gather Together Grow Together
• Elizabeth Gattenby
• Thomas George Gaylord, MD
• Keshwan Gbanquoi
• John Daniel Gee, LMFTA

• Massage Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.