Organization Active NPI

Moseng Health Care Inc.

  • Chiropractor
  • Cottonwood, AZ
National Provider Identifier
1588875447
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7085 Issued in AZ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.