Individual provider Active NPI

Stephan Moje, DC DIBCN

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1336457993
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010283 Issued in PA
Practice address
8624 Winton Rd Ste B
Cincinnati, OH 45231-4837
Phone
(513) 931-4300
Fax
(513) 898-9149
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4650-012 WI
Chiropractor 111N00000X 5424 MN
Chiropractor 111N00000X 2301 009712 MI
Neurology Chiropractor 111NN0400X 4113 OH
Chiropractor 111N00000X DC010283 PA Primary

Addresses

Primary practice location

8624 Winton Rd Ste B
Cincinnati, OH 45231-4837

Mailing address

6635 Murray Ave
Cincinnati, OH 45227-4726
Phone (218) 205-6141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106002068 OH Practitioner - ChiropracticPractitioner - Neurology 9335405430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Compton Rd
Unit 4
Cincinnati, OH 45231-3850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301 009712MIMDChiropractor
DC010283PAMDChiropractor
4650-012WIMDChiropractor
4113OHMDNeurology Chiropractor
5424MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie Jahnke, D.C. Chiropractor 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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1336457993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 MURRAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452274726",
            "telephone_number": "218-205-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8624 WINTON RD STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314837",
            "telephone_number": "513-931-4300",
            "fax_number": "513-898-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJE",
        "first_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "DC DIBCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4650-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5424",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301 009712",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "OH",
            "license": "4113",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.