Daniel Kurt Moffett

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

4621 Patrick Henry Cir Unit a
Scott Air Force Base, IL 62225-6846

Phone

(814) 323-0666

NPI assigned

Apr 17, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1295679454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 PATRICK HENRY CIR UNIT A",
            "city": "SCOTT AIR FORCE BASE",
            "state": "IL",
            "postal_code": "622256846",
            "telephone_number": "814-323-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 PATRICK HENRY CIR UNIT A",
            "city": "SCOTT AIR FORCE BASE",
            "state": "IL",
            "postal_code": "622256846",
            "telephone_number": "814-323-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "DANIEL",
        "middle_name": "KURT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia A Matthews, PA
• Brent S McClenny, DMD
• Abby McElroy, WHNP
• Michelle McPherson, P.T.
• Taylor Marie Meyers, M.D.
• Taylor M O'Neil, MD
• Jessica Selena Pabon, PHARMD.
• Isaiah T Sampson, PHD
• Gabrielle E Sapienza, PA-C
• Richard Glen Simmons Jr., PT

• Independent Duty Medical Technicians in Scott Air Force Base, IL
• Providers in Scott Air Force Base, IL by specialty
• Independent Duty Medical Technicians in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.