Active NPI
William Joseph Moreau, DC, DACBSP, FACSM
- Chiropractor
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH61020299
- Practice address
- 1499 SE Tech Center PL Ste 350
Vancouver, WA 98683-9575 - Phone
- (360) 326-2121
- Fax
- (360) 326-2121
- NPI assigned
- Mar 9, 2006
- Last updated
- Apr 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31802 | IA | |
| Chiropractor | 111N00000X | 4822 | IA | |
| Chiropractor | 111N00000X | 3578 | MN | |
| Chiropractor | 111N00000X | CH61020299 | WA | Primary |
Addresses
Primary practice location
1499 SE Tech Center PL Ste 350
Vancouver, WA 98683-9575
Mailing address
1499 SE Tech Center PL Ste 350
Vancouver, WA 98683-9575
Phone (360) 326-2121
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350035381 | Other | IA | RR MEDICARE |
| 0202531 | Medicaid | IA | |
| 3C173MO | Other | IA | MNBC |
| 57974 | Other | WELLMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31802 | IA | MD | Chiropractor |
| 4822 | IA | MD | Chiropractor |
| 3578 | MN | MD | Chiropractor |
| CH61020299 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosport Concussion and Spine | Chiropractor | Current | Accepting new patients |
| Moreau Chiropractic Clinic | Chiropractor | Current | Accepting new patients |
Locations
1820 Central Ave
Estherville, IA 51334
Phone (712) 340-7323
1499 SE Tech Center Pl
Ste 350
Vancouver, WA 98683
Phone (360) 326-2121
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.
-
dba NeuroSport Spine and Concussion Center
- Chiropractor
- Vancouver, WA
- NPI 1083454540
-
- Chiropractor
- Estherville, IA
- NPI 1326059023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1407824071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 SE TECH CENTER PL STE 350",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839575",
"telephone_number": "360-326-2121",
"fax_number": "360-326-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 SE TECH CENTER PL STE 350",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839575",
"telephone_number": "360-326-2121",
"fax_number": "360-326-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREAU",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC, DACBSP, FACSM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "31802",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "4822",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3578",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH61020299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "350035381",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0202531",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBC",
"identifier": "3C173MO",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "57974",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.