John B Moffet DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR002080 Issued in GA

Legal business name

JOHN B MOFFET DC PC

Practice address

216 College Ave S
Douglas, GA 31533-2302

Phone

(912) 384-5678

Fax

(912) 384-5510

NPI assigned

May 21, 2007

Last updated

Mar 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Boyd MoffetNPI 1255306908

Title

President/Provider

Phone

(912) 384-5678

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Boyd Moffet, DC

  • Chiropractor
  • Douglas, GA
  • NPI 1255306908
  Authorized official Same address or phone

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1437368172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 COLLEGE AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332302",
            "telephone_number": "912-384-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 COLLEGE AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332302",
            "telephone_number": "912-384-5678",
            "fax_number": "912-384-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B MOFFET DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "MOFFET",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "912-384-5678"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000277197C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Douglas, GA
• Providers in Douglas, GA by specialty
• Chiropractor in Georgia

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