Active NPI
Moseng Health Care Inc.
- Chiropractor
- Cottonwood, AZ
National Provider Identifier
1588875447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7085
- Legal business name
- MOSENG HEALTH CARE INC.
- Doing business as
- Moseng Chiropractic
- Practice address
- 240 Jennifer Lane Ste 103
Cottonwood, AZ 86326-8100 - Phone
- (928) 634-0733
- Fax
- (928) 634-0735
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Alan Moseng, DC
- Title
- Owner
- Phone
- (928) 634-0733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7085 | AZ | Primary |
Addresses
Primary practice location
240 Jennifer Lane Ste 103
Cottonwood, AZ 86326-8100
Mailing address
240 Jennifer Lane, Ste. 103
Cottonwood, AZ 86326
Phone (928) 634-0733
Other names 1
- Moseng Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050610000148 | AZ | Part B Supplier - Clinic/Group Practice | 5496798480 |
1 other NPI on this enrollment Practice locations: Cottonwood, AZ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
240 Jennifer Dr
Ste 103
Cottonwood, AZ 86326
Phone (928) 634-0733
211 Jennifer Dr
Ste A
Cottonwood, AZ 86326
Phone (928) 634-0733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1588875447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 JENNIFER LANE, STE. 103",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "86326",
"telephone_number": "928-634-0733",
"fax_number": "928-634-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 JENNIFER LANE STE 103",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863268100",
"telephone_number": "928-634-0733",
"fax_number": "928-634-0735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSENG HEALTH CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOSENG",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-634-0733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "7085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moseng Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.