Dixon Mooseau, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1753 Issued in ID

Practice address

1390 S Maple Grove Rd Ste 200
Boise, ID 83709-1610

Phone

(208) 672-0100

NPI assigned

Feb 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rausch Chiropractic PLLC

  • Chiropractor
  • Boise, ID
  • NPI 1730991894
  NPD (past)

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1558809558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S MAPLE GROVE RD STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S MAPLE GROVE RD STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091610",
            "telephone_number": "208-672-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSEAU",
        "first_name": "DIXON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Richard Moore, MD
• Desiree Moores, OT
• Paula J. Moores, PT
• Emily Moorhead
• Aaron J Moos, MD
• Sarah Jean Mooseau, AU.D.
• Elaine Moquette-Magee, RD
• Brianna Morabito, PHARM.D,, MSCR, BCPS
• Fraisher De Mesa Morales, PHARMD
• Jacqueline Ann Morales

• Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.