Moses Micah Jevicky, D.C,

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009879 Issued in PA

Practice address

590 Indian Springs Rd
Suite 3
Indiana, PA 15701-3600

Phone

(724) 465-2230

Fax

(724) 465-2235

NPI assigned

Dec 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maximum Chiropractic

  • Rehabilitation Chiropractor
  • Indiana, PA
  • NPI 1306029012
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1396927901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 INDIAN SPRINGS RD",
            "address_2": "SUITE 3",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013600",
            "telephone_number": "724-465-2230",
            "fax_number": "724-465-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 INDIAN SPRINGS RD",
            "address_2": "SUITE 3",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013600",
            "telephone_number": "724-465-2230",
            "fax_number": "724-465-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEVICKY",
        "first_name": "MOSES",
        "middle_name": "MICAH",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009879",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "AJ009695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald L Jasper, DO
• Jeffrey D Martens MD PC
• Callie Rae Jellots, PHARMD
• Nicholas Murray Jellots, PHARMD
• Ann R Jesick, MD
• JK Marketing, LLC
• John M Neale MD LTD
• John S Gregg MD
• Kolby Johnson, DPT
• Melissa Marie Johnson

• Chiropractor in Indiana, PA
• Providers in Indiana, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.