Organization Active NPI

Moore & Webb Chiropractic LLC

  • Chiropractor
  • Hutchinson, KS
National Provider Identifier
1548625932
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05758 Issued in KS
Legal business name
MOORE & WEBB CHIROPRACTIC LLC
Practice address
1035 E 30TH Ave Ste a
Hutchinson, KS 67502-4226
Phone
(620) 259-8059
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Authorized official

Name
Dr. Stephan Moore, D.C.NPI 1184098386
Title
President
Phone
(620) 259-8059

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 01-05758 KS Primary

Addresses

Primary practice location

1035 E 30TH Ave Ste a
Hutchinson, KS 67502-4226

Mailing address

1035 E 30TH Ave Ste a
Hutchinson, KS 67502-4226
Phone (620) 259-8059

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160615000506 KS Part B Supplier - Clinic/Group Practice 8022309426 Receives reassigned benefits from 2 practitioners
Practice locations: Hutchinson, KS

National Provider Directory

National Provider Directory

Locations

510 E 17th Ave
Ste B
Hutchinson, KS 67501
Phone (620) 259-8059

1035 E 30th Ave
#A
Hutchinson, KS 67502
Phone (620) 665-5076

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629504000000",
    "number": "1548625932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 E 30TH AVE STE A",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675024226",
            "telephone_number": "620-259-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 E 30TH AVE STE A",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675024226",
            "telephone_number": "620-259-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE & WEBB CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-259-8059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.