Organization Active NPI

Nlmdc PLLC

  • Clinic/Center
  • Sun City, AZ
National Provider Identifier
1629696430
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NLMDC PLLC
Practice address
10050 W Bell Rd Ste 14
Sun City, AZ 85351-1288
Phone
(928) 275-1326
Fax
(623) 972-8068
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Nathan Leroy Moon, DCNPI 1417504101
Title
Owner
Phone
(785) 313-1420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10050 W Bell Rd Ste 14
Sun City, AZ 85351-1288

Mailing address

10050 W Bell Rd Ste 14
Sun City, AZ 85351-1288
Phone (928) 275-1326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200728003417 AZ Part B Supplier - Clinic/Group Practice 2163847864 Receives reassigned benefits from 1 practitioner
Practice locations: Sun City, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1629696430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 W BELL RD STE 14",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511288",
            "telephone_number": "928-275-1326",
            "fax_number": "623-972-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 W BELL RD STE 14",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511288",
            "telephone_number": "928-275-1326",
            "fax_number": "623-972-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NLMDC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-313-1420",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.