Individual provider Active NPI

Andrea B Moses, DC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1205807682
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F10000425 Issued in DE
Practice address
3105 Limestone Rd
Suite 303
Wilmington, DE 19808-2147
Phone
(302) 993-9113
Fax
(302) 993-0313
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F10000425 DE Primary

Addresses

Primary practice location

3105 Limestone Rd
Suite 303
Wilmington, DE 19808-2147

Mailing address

3105 Limestone Rd
Suite 303
Wilmington, DE 19808-2147
Phone (302) 993-9113

Other identifiers 2

IdentifierTypeStateIssuer
522088872OtherDEBCBS
1040507OtherDEAETNA

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
F10000425DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Office, P.a. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1205807682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD",
            "address_2": "SUITE 303",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082147",
            "telephone_number": "302-993-9113",
            "fax_number": "302-993-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD",
            "address_2": "SUITE 303",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082147",
            "telephone_number": "302-993-9113",
            "fax_number": "302-993-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "ANDREA",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F10000425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "522088872",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1040507",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.