Moon Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MOON CHIROPRACTIC, PC

Practice address

18947 Park Avenue PLZ
Meadville, PA 16335-4015

Phone

(814) 720-5808

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Joseph Moon, DCNPI 1962916155

Title

Owner

Phone

(814) 807-0040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Michael Moon, DC

  • Chiropractor
  • Meadville, PA
  • NPI 1962916155
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1598351397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 PARK AVENUE PLZ",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354015",
            "telephone_number": "814-807-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 PARK AVENUE PLZ",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354015",
            "telephone_number": "814-720-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-01",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-807-0040",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MMC Pharmacy Inc
• MMC Pharmacy Inc
• Lisa Moffitt, OD
• Bryan Douglas Moles, D.O.
• Ryan G Molli, DO
• Joseph Michael Moon, DC
• Sarah Emily Moore, LSW
• Tawnya Marie Morian, DPT
• Michelle Elizabeth Morris
• Tiffany Dawn Morris, LMT

• Chiropractor in Meadville, PA
• Providers in Meadville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.