Moffett Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009210 Issued in IL

Legal business name

MOFFETT CHIROPRACTIC

Practice address

607 W Oak St
West Frankfort, IL 62896

Phone

(618) 937-3509

Fax

(618) 937-3500

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Martin Moffett, D.C.

Title

Owner

Phone

(618) 937-3509

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1649764697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W OAK ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962537",
            "telephone_number": "618-937-3509",
            "fax_number": "618-937-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W OAK ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "62896",
            "telephone_number": "618-937-3509",
            "fax_number": "618-937-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFFETT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-937-3509",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Mills, MSW, QMHP
• Lisa Minor
• Nicholas Minor, PHARM D
• Beverly Mitchell
• Lindsey Anne Modglin, BS
• Martin R Moffett, D.C.
• Ariel Moore
• Lyndsey Alecia Moore, M.S.W Q.M.H.P
• Aaron Morehead
• Carri Morris

• Chiropractor in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.