Organization Active NPI

Moselle Chiropractic Center, PC

  • Chiropractor
  • Glens Falls, NY
National Provider Identifier
1376661470
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002086-1 Issued in NY
Legal business name
MOSELLE CHIROPRACTIC CENTER, PC
Practice address
5 Sagamore St
Suite B
Glens Falls, NY 12801-3115
Phone
(518) 615-0056
Fax
(518) 615-0059
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Bruce M Moselle, DC
Title
Chiropractor
Phone
(518) 615-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X002086-1 NY Primary

Addresses

Primary practice location

5 Sagamore St
Suite B
Glens Falls, NY 12801-3115

Mailing address

5 Sagamore St
Suite B
Glens Falls, NY 12801-3115
Phone (518) 615-0056

National Provider Directory

National Provider Directory

Locations

5 Sagamore St
Ste B
Glens Falls, NY 12801
Phone (518) 615-0056

17 Cronin Rd
Ste C
Queensbury, NY 12804
Phone (518) 615-0056

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1376661470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAGAMORE ST",
            "address_2": "SUITE B",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013115",
            "telephone_number": "518-615-0056",
            "fax_number": "518-615-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAGAMORE ST",
            "address_2": "SUITE B",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013115",
            "telephone_number": "518-615-0056",
            "fax_number": "518-615-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSELLE CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "MOSELLE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "518-615-0056",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002086-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.