Individual provider Active NPI

Christina M Moneyhan, DC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1467479113
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
918 Issued in AZ
Practice address
7205 E Southern Ave
Suite 103
Mesa, AZ 85209-2790
Phone
(480) 830-7300
Fax
(480) 654-6557
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 918 AZ Primary

Addresses

Primary practice location

7205 E Southern Ave
Suite 103
Mesa, AZ 85209-2790

Mailing address

PO Box 2718
Apache Junction, AZ 85217-2718
Phone (480) 830-7300

Other identifiers 1

IdentifierTypeStateIssuer
AZ-008507OtherAZBLUE CROSS BLUE SHIELD

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1467479113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2718",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852172718",
            "telephone_number": "480-830-7300",
            "fax_number": "480-654-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 E SOUTHERN AVE",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092790",
            "telephone_number": "480-830-7300",
            "fax_number": "480-654-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONEYHAN",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ-008507",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.