Richard Lee Moxon, DC CCEP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3019 Issued in WI

Practice address

93 S Pioneer Rd Ste 200
Fond Du Lac, WI 54936-1776

Phone

(920) 907-1283

Fax

(920) 907-1285

NPI assigned

Mar 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Moxon Chiropractic, S.C.

  • Chiropractor
  • Fond Du Lac, WI
  • NPI 1154594059
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1437289972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6463 S PIONEER RD",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353853",
            "telephone_number": "920-907-1283",
            "fax_number": "920-907-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 S PIONEER RD STE 200",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549361776",
            "telephone_number": "920-907-1283",
            "fax_number": "920-907-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOXON",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC CCEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38880600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Morgan, MS, LPC
• Leslie R Moser, AUD
• Jeanne M Mossberger, APNP
• Kelly A Mowell, D.V.M.
• Moxon Chiropractic, S.C.
• Shelly M Muche, OTR
• Aaron Jacob Muchenberger
• Joan Louise Mueller, MD
• Jay R Muller, MD
• Joshua M Mulloy, NP

• Chiropractor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.