Mitchell Ryan Moret, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5596 Issued in CO

Practice address

10789 Bradford Rd
Suite #110
Littleton, CO 80127-6403

Phone

(303) 904-8641

Fax

(303) 904-8793

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• M5 Chiropractic Professional LLC

  • Chiropractor
  • Littleton, CO
  • NPI 1174719900
  Medicare reassignment NPD Authorized official
• Crossroads Family Chiropractic, Inc

  • Chiropractor
  • Littleton, CO
  • NPI 1528254356
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609958685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10789 BRADFORD RD",
            "address_2": "SUITE #110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276403",
            "telephone_number": "303-904-8641",
            "fax_number": "303-904-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10789 BRADFORD RD",
            "address_2": "SUITE #110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276403",
            "telephone_number": "303-904-8641",
            "fax_number": "303-904-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORET",
        "first_name": "MITCHELL",
        "middle_name": "RYAN",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK / BCBS",
            "identifier": "669042",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reginald A Moore, PHD
• Tania Kay Moore
• Maria Morales, BCBA
• Nohely Morales
• Jodie Robin Moreland
• Erasmus G. Morfe, D.O.
• Derrick Morford
• Cappi Morgan-Black, LCSW
• Jacqueline Huxel Morgan
• Lara Evelyn Morgan, PA-C

• All providers in Littleton, CO
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.