Carl Johan Moe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60323916 Issued in WA

Practice address

16563 Redmond Way
Suite D
Redmond, WA 98052-4464

Phone

(585) 738-8427

NPI assigned

Feb 15, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• JS Kramer PLLC

  • Chiropractor
  • Seattle, WA
  • NPI 1487114815
  NPD (past)
• Pacific Posture LLC

  • Chiropractor
  • Redmond, WA
  • NPI 1437677697
  NPD (past)

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1659611432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 INTERLAKE AVE N",
            "address_2": "STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036772",
            "telephone_number": "206-652-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16563 REDMOND WAY",
            "address_2": "SUITE D",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524464",
            "telephone_number": "585-738-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "CARL",
        "middle_name": "JOHAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-15",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60323916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Coaching With Sara
• Mindful Senior Care LLC
• Minimed Distribution Corp.
• Michele Elizabeth Mishra, LICSWA
• Neal H. Mizushima, L.M.P.
• Britney Lane Moell
• Saara Mohamed, PT
• Yasmine Mohamed, BDS
• Tayyaba F Mohammad, MD
• Emily Mohr, M.S., LMFTA

• Chiropractor in Redmond, WA
• Providers in Redmond, WA by specialty
• Chiropractor in Washington

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