Individual provider Active NPI

Madison Moyer, DC

  • Chiropractor
  • Saint Joseph, MI
National Provider Identifier
1568319754
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401712 Issued in MI
Practice address
804 Elm St
Saint Joseph, MI 49085-1227
Phone
(269) 983-5527
Fax
(269) 983-3610
NPI assigned
Mar 16, 2026
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401712 MI Primary

Addresses

Primary practice location

804 Elm St
Saint Joseph, MI 49085-1227

Mailing address

804 Elm St
Saint Joseph, MI 49085-1227
Phone (269) 983-5527

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416000661 MI Practitioner - Chiropractic 4284100355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

804 Elm St
Saint Joseph, MI 49085-1227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401712MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hudak Chiropractic Clinic, PC Chiropractor CurrentSince Mar 18, 2026 Accepting new patients

Locations

804 Elm St
Saint Joseph, MI 49085
Phone (269) 983-5527

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1568319754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ELM ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851227",
            "telephone_number": "269-983-5527",
            "fax_number": "269-983-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 ELM ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851227",
            "telephone_number": "269-983-5527",
            "fax_number": "269-983-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "MADISON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.