Individual provider Active NPI

Marlon L Moritz, DC

  • Chiropractor
  • New Carlisle, OH
National Provider Identifier
1609979699
Registry record updated Apr 24, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Mar 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1286 Issued in OH
Practice address
206 N Church St
New Carlisle, OH 40344-0504
Phone
(937) 846-1295
Fax
(937) 845-5904
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1286 OH Primary

Addresses

Primary practice location

206 N Church St
New Carlisle, OH 40344-0504

Mailing address

PO Box 504
206 N Church St
New Carlisle, OH 45344
Phone (937) 846-1295

Other identifiers 1

IdentifierTypeStateIssuer
0951895MedicaidOH

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1609979699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504",
            "address_2": "206 N CHURCH ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "45344",
            "telephone_number": "937-846-1295",
            "fax_number": "937-845-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N CHURCH ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "403440504",
            "telephone_number": "937-846-1295",
            "fax_number": "937-845-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORITZ",
        "first_name": "MARLON",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0951895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carlisle, OH

Sources for this page

Verify at the official NPI Registry.