Individual provider Active NPI

Kyle R Moser, D.C.

  • Chiropractor
  • Arroyo Grande, CA
National Provider Identifier
1386080885
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32314 Issued in CA
Practice address
130 S Halcyon Rd Ste B
Arroyo Grande, CA 93420-3148
Phone
(805) 481-8508
Fax
(805) 481-6839
NPI assigned
May 12, 2013
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1259 HI
Chiropractor 111N00000X DC32314 CA Primary

Addresses

Primary practice location

130 S Halcyon Rd Ste B
Arroyo Grande, CA 93420-3148

Mailing address

130 S Halcyon Rd Ste B
Arroyo Grande, CA 93420-3148
Phone (805) 709-5343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425002254 CA Practitioner - Chiropractic 6204050065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 S Halcyon Rd
Suite B
Arroyo Grande, CA 93420-3148
Phone (805) 481-8508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC32314CAMDChiropractor
1259HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Moser Chiropractic Inc Chiropractor CurrentSince Jul 1, 2020 Accepting new patients

Locations

130 S Halcyon Rd
Ste B
Arroyo Grande, CA 93420
Phone (805) 481-8508

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1386080885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S HALCYON RD STE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203148",
            "telephone_number": "805-709-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S HALCYON RD STE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203148",
            "telephone_number": "805-481-8508",
            "fax_number": "805-481-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "KYLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-12",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1259",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.