Individual provider Active NPI

Michael R Moffat, D.C.

  • Chiropractor
  • Sonora, CA
National Provider Identifier
1346312865
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14997 Issued in CA
Practice address
13945 E. Mono Way
Suite B
Sonora, CA 95370-2823
Phone
(209) 532-3700
Fax
(209) 532-4913
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14997 CA Primary

Addresses

Primary practice location

13945 E. Mono Way
Suite B
Sonora, CA 95370-2823

Mailing address

13945 E. Mono Way
Suite B
Sonora, CA 95370-2823
Phone (209) 532-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000629 CA Practitioner - Chiropractic 8123296597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothill Chiropractic CorpGroup PAC ID 6709015860, 3 clinicians

Practice addresses (Care Compare)

13955 Mono Way
Suite a
Sonora, CA 95370-2833
Phone (209) 532-3700

Merit-based Incentive Payment System (MIPS)

Final score
20.29 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14997CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Chiropractic Corp Chiropractor CurrentSince Jul 5, 2011 Accepting new patients

Locations

13955 Mono Way
Ste A
Sonora, CA 95370
Phone (209) 532-3700

Interoperability endpoints

  • Direct secure messaging: kate@fc0013.direct.chirotouch.md

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1346312865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13945 E. MONO WAY",
            "address_2": "SUITE B",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702823",
            "telephone_number": "209-532-3700",
            "fax_number": "209-532-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13945 E. MONO WAY",
            "address_2": "SUITE B",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702823",
            "telephone_number": "209-532-3700",
            "fax_number": "209-532-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFAT",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

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