Organization Active NPI

Moss Family Chiropractic P.C.

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1356586317
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06709 Issued in IA
Legal business name
MOSS FAMILY CHIROPRACTIC P.C.
Practice address
1932 SW 3Rd St
Suite 6
Ankeny, IA 50023-2400
Phone
(515) 964-9114
Fax
(515) 964-9117
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Paul Robert Moss, D.C.NPI 1164597779
Title
Owner
Phone
(515) 964-9114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06709 IA Primary

Addresses

Primary practice location

1932 SW 3Rd St
Suite 6
Ankeny, IA 50023-2400

Mailing address

1932 SW 3Rd St
Suite 6
Ankeny, IA 50023-2400
Phone (515) 964-9114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081216000683 IA Part B Supplier - Clinic/Group Practice 7416019070 Receives reassigned benefits from 1 practitioner
Practice locations: Ankeny, IA

National Provider Directory

National Provider Directory

Locations

1932 SW 3rd St
Ste 6
Ankeny, IA 50023
Phone (515) 964-9114

2005 S Ankeny Blvd
Ste 400
Ankeny, IA 50023
Phone (515) 964-9114

Practitioners & affiliated clinicians

Practitioners 1

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1356586317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 SW 3RD ST",
            "address_2": "SUITE 6",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232400",
            "telephone_number": "515-964-9114",
            "fax_number": "515-964-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 SW 3RD ST",
            "address_2": "SUITE 6",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232400",
            "telephone_number": "515-964-9114",
            "fax_number": "515-964-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS FAMILY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-964-9114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.