Individual provider Active NPI

Gregg Moyle Jones, DC

  • Chiropractor
  • Moses Lake, WA
National Provider Identifier
1598852840
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
025202CH00003167 Issued in WA
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

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2029957MedicaidWA
0103392OtherWADEPT OF LABOR AND INDUSTR
0205079OtherWADEPT 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

LicenseStateTypeSpecialty
025202CH00003167WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg M Jones Chiropractor CurrentSince Jan 1, 1990 Accepting new patients
Healthsource of Moses Lake PastSince Feb 4, 2020 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.

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.

Verify at the official NPI Registry.