Individual provider Active NPI

Samuel Z Moya, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1285802702
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10833 Issued in TX
Practice address
24165 W Ih 10 Ste 106
San Antonio, TX 78257-1162
Phone
(210) 698-1700
Fax
(210) 698-3400
NPI assigned
Feb 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10833 TX Primary

Addresses

Primary practice location

24165 W Ih 10 Ste 106
San Antonio, TX 78257-1162

Mailing address

24165 W Ih 10 Ste 106
San Antonio, TX 78257-1162
Phone (210) 698-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711003712 TX Practitioner - Chiropractic 9830468578 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24165 W Ih
10 Suite 106
San Antonio, TX 78257-1162
Phone (210) 698-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10833TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bryant Chiropractic, P.C. Chiropractor PastSince Sep 1, 2000 Accepting new patients
Moya Chiropractic, LLC Past Accepting new patients

Organizations & group practices 2

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1285802702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 W IH 10 STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571162",
            "telephone_number": "210-698-1700",
            "fax_number": "210-698-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24165 W IH 10 STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571162",
            "telephone_number": "210-698-1700",
            "fax_number": "210-698-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA",
        "first_name": "SAMUEL",
        "middle_name": "Z",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.