Active NPI
Gregg Moyle Jones, DC
- Chiropractor
- Moses Lake, WA
National Provider Identifier
1598852840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 025202CH00003167
- Practice address
- 411 E 5TH Ave
Moses Lake, WA 98837-1716 - Phone
- (509) 765-0638
- Fax
- (509) 765-3891
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 025202CH00003167 | WA | Primary |
Addresses
Primary practice location
411 E 5TH Ave
Moses Lake, WA 98837-1716
Mailing address
PO Box 1415
Moses Lake, WA 98837
Phone (509) 765-0638
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2029957 | Medicaid | WA | |
| 0103392 | Other | WA | DEPT OF LABOR AND INDUSTR |
| 0205079 | Other | WA | DEPT OF LABOR AND INDUSTR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025202CH00003167 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregg M Jones | Chiropractor | Current | Accepting new patients |
| Healthsource of Moses Lake | Past | Accepting new patients |
Locations
420 W 3rd Ave
Moses Lake, WA 98837
Phone (509) 765-0638
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Moses Lake, WA
- NPI 1003212895
-
- Chiropractor
- Moses Lake, WA
- NPI 1083231385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1598852840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1415",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "98837",
"telephone_number": "509-765-0638",
"fax_number": "509-765-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E 5TH AVE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371716",
"telephone_number": "509-765-0638",
"fax_number": "509-765-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "GREGG",
"middle_name": "MOYLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "025202CH00003167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029957",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR AND INDUSTR",
"identifier": "0103392",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR AND INDUSTR",
"identifier": "0205079",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.