Organization Active NPI

Moss Chiropractic LLC

Doing business as Moss Chiropractic and Wellness

  • Chiropractor
  • Olney, MD
National Provider Identifier
1346441409
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOSS CHIROPRACTIC LLC
Doing business as
Moss Chiropractic and Wellness
Practice address
18209 Hillcrest Avenue
Olney, MD 20832
Phone
(301) 570-9000
Fax
(301) 570-9055
NPI assigned
May 29, 2007
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Dr. Gabriella Prochaska Moss, D.CNPI 1154453876
Title
Owner/Partner
Phone
(301) 570-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

18209 Hillcrest Avenue
Olney, MD 20832

Mailing address

18209 Hillcrest Avenue
Olney, MD 20832
Phone (301) 570-9000

Other identifiers 1

IdentifierTypeStateIssuer
11100700MedicaidMD

Other names 1

  • Moss Chiropractic and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080829000330 DC Part B Supplier - Clinic/Group Practice 8022184977 Receives reassigned benefits from 1 practitioner
Practice locations: Olney, MD
O20200506001305 MD DME Supplier - Medical Supply Company 8022184977 Practice locations: Olney, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Moss Chiropractic LLC18209 Hillcrest Ave, Olney, MD 20832-1422(301) 570-9000 Heat & Cold Applications|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Prefabricated (Non-Custom Fabr… Accepts assignmentParticipating since Feb 1, 2008

National Provider Directory

National Provider Directory

Locations

18123 Town Center Dr
Olney, MD 20832
Phone (301) 570-9000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1346441409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18209 HILLCREST AVENUE",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-570-9000",
            "fax_number": "301-570-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18209 HILLCREST AVENUE",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-570-9000",
            "fax_number": "301-570-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-09-26",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "GABRIELLA",
        "authorized_official_middle_name": "PROCHASKA",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "301-570-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11100700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moss Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.