Active NPI
Moses Family Chiropractic & Wellness Center P.C.
- Chiropractor
- Shelby Township, MI
National Provider Identifier
1467883330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008704
- Legal business name
- MOSES FAMILY CHIROPRACTIC & WELLNESS CENTER P.C.
- Practice address
- 45941 Hayes Rd
Shelby Township, MI 48315-6217 - Phone
- (586) 323-5060
- NPI assigned
- Dec 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack A Moses Jr., DC
- Title
- Owner
- Phone
- (586) 323-5060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008704 | MI | Primary |
Addresses
Primary practice location
45941 Hayes Rd
Shelby Township, MI 48315-6217
Mailing address
45941 Hayes Rd
Shelby Township, MI 48315-6217
Phone (586) 323-5060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4792072 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Moses Family Chiropractic Wellness Center PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Shelby Township, MI
- NPI 1730377490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Macomb, MI
- NPI 1538154620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386288000000",
"number": "1467883330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45941 HAYES RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483156217",
"telephone_number": "586-323-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45941 HAYES RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483156217",
"telephone_number": "586-323-5060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSES FAMILY CHIROPRACTIC & WELLNESS CENTER P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-03",
"last_updated": "2013-12-06",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-323-5060",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4792072",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.