Moon Chiropractic Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5153 Issued in AZ

Legal business name

MOON CHIROPRACTIC CENTER, PLLC

Practice address

1751 Stockton Hill Rd
Suite B
Kingman, AZ 86401-6601

Phone

(928) 753-1120

Fax

(928) 753-6191

NPI assigned

Feb 5, 2008

Last updated

Feb 5, 2008By 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

Kathrine Winters

Title

Office Manager

Phone

(928) 753-1120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 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.

• Scott A Moon, D.C.

  • Chiropractor
  • Kingman, AZ
  • NPI 1801841341
  Medicare reassignment NPD

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1467630194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 STOCKTON HILL RD",
            "address_2": "SUITE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016601",
            "telephone_number": "928-753-1120",
            "fax_number": "928-753-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 STOCKTON HILL RD",
            "address_2": "SUITE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016601",
            "telephone_number": "928-753-1120",
            "fax_number": "928-753-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "KATHRINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-753-1120"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohave Primary Care
• Monolith Diagnostics, PC
• Monson Chiropractic LLC
• Ernest S Monson, NP
• Monsoon Community Health, PLLC
• Scott A Moon, D.C.
• Michael Moore, RPH
• Traci Moore, APRN, FNP-C
• Ryan Seyed Moosavi, DO
• Donald Lynn Morgan, D.O.

• Chiropractor in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.