Mary Jean Moses, DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0007111 Issued in FL

Practice address

2389 Davis Blvd
Naples, FL 34104

Phone

(239) 774-2444

Fax

(239) 774-5470

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Mary J Moses DC PA

  • Chiropractor
  • Naples, FL
  • NPI 1659641264
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1225005994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 DAVIS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34104",
            "telephone_number": "239-774-2444",
            "fax_number": "239-774-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2389 DAVIS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34104",
            "telephone_number": "239-774-2444",
            "fax_number": "239-774-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DC PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "650824023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Morton, R.N.
• Mosaic Therapy Services LLC
• Charles Edward Moseley, M.S.P.T.
• Christine Moser, LCSW, ACHP-SW
• Delaney Moser
• Vadim Mosiychuk, CRNA
• Pedro Mostafa, ARNP
• Hetienne Mota Macedo, DDS
• Mother'S Pharmacy
• Alicia Weldon Motley, RPH

• Chiropractor in Naples, FL
• Providers in Naples, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.