Individual provider Active NPI

Kahlil Vadre Moses, D.C.

  • Chiropractor
  • North Palm Beach, FL
National Provider Identifier
1184760878
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8298 Issued in FL
Practice address
700 US Highway 1
Suite B
North Palm Beach, FL 33408-4500
Phone
(561) 848-8482
Fax
(954) 963-7169
NPI assigned
Jan 29, 2007
Last updated
Sep 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8298 FL Primary

Addresses

Primary practice location

700 US Highway 1
Suite B
North Palm Beach, FL 33408-4500

Mailing address

700 US Highway 1
Suite B
North Palm Beach, FL 33408-4500
Phone (561) 848-8482

Other identifiers 2

IdentifierTypeStateIssuer
89044OtherFLBLUE CROSS BLUE SHEILD
205626090OtherFLTAX ID

Other names 1

  • Dr. Kahlil Vadre Moses Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH8298FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A & M Gerber Chirorpactic, LLC Chiropractor Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1184760878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 US HIGHWAY 1",
            "address_2": "SUITE B",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084500",
            "telephone_number": "561-848-8482",
            "fax_number": "954-963-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 US HIGHWAY 1",
            "address_2": "SUITE B",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084500",
            "telephone_number": "561-848-8482",
            "fax_number": "954-963-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "KAHLIL",
        "middle_name": "VADRE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "89044",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "205626090",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAHLIL",
            "last_name": "MOSES",
            "middle_name": "VADRE",
            "prefix": "DR.",
            "credential": ".D.C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.