Organization Active NPI

Moeckel Chiropractic, P.S.

  • Chiropractor
  • Chehalis, WA
National Provider Identifier
1568608255
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034712 Issued in WA
Legal business name
MOECKEL CHIROPRACTIC, P.S.
Practice address
83 SW 13TH St
Suite 2
Chehalis, WA 98532-3602
Phone
(360) 748-8824
Fax
(360) 748-8825
NPI assigned
Dec 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Dr. Scott F. Moeckel, D.C.NPI 1952437915
Title
Owner
Phone
(360) 748-8824

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 CH00034712 WA Primary

Addresses

Primary practice location

83 SW 13TH St
Suite 2
Chehalis, WA 98532-3602

Mailing address

83 SW 13TH St
Suite 2
Chehalis, WA 98532-3602
Phone (360) 748-8824

Other identifiers 1

IdentifierTypeStateIssuer
0242951OtherWAL&I

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160215000707 WA Part B Supplier - Clinic/Group Practice 1153625959 Receives reassigned benefits from 1 practitioner
Practice locations: Chehalis, WA

National Provider Directory

National Provider Directory

Locations

2364 Jackson Hwy
Chehalis, WA 98532
Phone (360) 748-8824

83 SW 13th St
#2
Chehalis, WA 98532
Phone (360) 748-8824

Practitioners & affiliated clinicians

Practitioners 2

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": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1568608255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SW 13TH ST",
            "address_2": "SUITE 2",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323602",
            "telephone_number": "360-748-8824",
            "fax_number": "360-748-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SW 13TH ST",
            "address_2": "SUITE 2",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323602",
            "telephone_number": "360-748-8824",
            "fax_number": "360-748-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOECKEL CHIROPRACTIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "MOECKEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-748-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0242951",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.