Individual provider Active NPI

Evan Moeller, DC

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1629757422
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
121204 Issued in IA
Practice address
100 3Rd Ave SW
Cedar Rapids, IA 52404-5715
Phone
(319) 366-2225
Fax
(319) 366-1726
NPI assigned
Jul 18, 2023
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 121204 IA Primary

Addresses

Primary practice location

100 3Rd Ave SW
Cedar Rapids, IA 52404-5715

Mailing address

100 3Rd Ave SW
Cedar Rapids, IA 52404-5715
Phone (319) 366-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231113001619 IA Practitioner - Chiropractic 7719334762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Health Care Associates P.C.Group PAC ID 3476444126, 5 clinicians

Practice addresses (Care Compare)

100 3Rd Ave SW
Cedar Rapids, IA 52404-5715
Phone (319) 366-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Care Associates P.C. Chiropractor CurrentSince Oct 7, 2023 Accepting new patients

Locations

100 3rd Ave SW
Cedar Rapids, IA 52404
Phone (319) 310-2979

515 7th Ave SE
Cedar Rapids, IA 52401
Phone (319) 366-2225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1629757422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045715",
            "telephone_number": "319-366-2225",
            "fax_number": "319-366-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 3RD AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045715",
            "telephone_number": "319-366-2225",
            "fax_number": "319-366-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "EVAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "121204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.