NPIMap

Organization Active NPI

Steven D. Moe, Inc.

  • Chiropractor
  • Eden Prairie, MN
National Provider Identifier
1205012861
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2122 Issued in MN
Legal business name
STEVEN D. MOE, INC.
Practice address
6805 Flying Cloud Drive
Eden Prairie, MN 55344-3418
Phone
(952) 833-3038
Fax
(952) 833-3040
NPI assigned
Jan 14, 2008
Last updated
Mar 23, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
STEVEN D. MOE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Steven D Moe, D.C.NPI 1457365561
Title
Owner
Phone
(952) 833-3038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Chiropractor 111N00000X 2122 MN Primary

Addresses

Primary practice location

6805 Flying Cloud Drive
Eden Prairie, MN 55344-3418

Mailing address

6805 Flying Cloud Drive
Eden Prairie, MN 55344-3418
Phone (952) 833-3038

Other identifiers 1

IdentifierTypeStateIssuer
11814MOOtherMNBC/BS OF MN

Other names 1

  • Dr. Steven Moe, Inc. Former legal business name

National Provider Directory

National Provider Directory
Part of
Steven D Moe Inc

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1205012861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 FLYING CLOUD DRIVE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443418",
            "telephone_number": "952-833-3038",
            "fax_number": "952-833-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 FLYING CLOUD DRIVE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443418",
            "telephone_number": "952-833-3038",
            "fax_number": "952-833-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D. MOE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEVEN D. MOE, INC.",
        "enumeration_date": "2008-01-14",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-833-3038",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MN",
            "identifier": "11814MO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Steven Moe, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.