Organization Active NPI

Moss Family Chiropractic, PLLC

  • Chiropractor
  • Kingwood, TX
National Provider Identifier
1487204889
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOSS FAMILY CHIROPRACTIC, PLLC
Practice address
1380 Stonehollow Dr
Kingwood, TX 77339-1773
Phone
(281) 358-7101
NPI assigned
Sep 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Dr. Susan Owen Moss, DCNPI 1053305433
Title
Owner
Phone
(281) 799-7291

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1380 Stonehollow Dr
Kingwood, TX 77339-1773

Mailing address

4306 Echo Falls Dr
Kingwood, TX 77345-1046
Phone (281) 799-7291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200117000158 TX Part B Supplier - Clinic/Group Practice 1355776402 Receives reassigned benefits from 1 practitioner
Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory

Locations

1380 Stonehollow Dr
Kingwood, TX 77339
Phone (281) 358-7101

1210 Stonehollow Dr
Kingwood, TX 77339
Phone (281) 312-4434

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1487204889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 ECHO FALLS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773451046",
            "telephone_number": "281-799-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 STONEHOLLOW DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391773",
            "telephone_number": "281-358-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-799-7291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.