Nathan Leroy Moon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05989 Issued in KS

Practice address

10050 W Bell Rd Ste 14
Sun City, AZ 85351-1288

Phone

(623) 972-0262

Fax

(623) 972-8068

NPI assigned

Aug 19, 2019

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nlmdc PLLC

  • Clinic/Center
  • Sun City, AZ
  • NPI 1629696430

  Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1417504101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 W BELL RD STE 14",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511288",
            "telephone_number": "623-972-0262",
            "fax_number": "623-972-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 W BELL RD STE 14",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511288",
            "telephone_number": "623-972-0262",
            "fax_number": "623-972-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "NATHAN",
        "middle_name": "LEROY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mynon Mitton, FNP-C
• Modern Sports Medicine LLC
• Aniket Mody
• Janine Montagna, SLP
• Jung Kuk Moon
• Greg R Moore, AUD, CCCA
• Kenneth Steven Moore, M.D
• Kyle Miles Moore, D.P.T
• Ilka Mayela Moreno, CNP
• Celina Moretta Lubbehusen, PA-C

• Chiropractor in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.