Organization Active NPI

Movement Mindset Chiropractic LLC

  • Chiropractor
  • Jacksonville, OR
National Provider Identifier
1659932358
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOVEMENT MINDSET CHIROPRACTIC LLC
Practice address
660 G St Ste a
Jacksonville, OR 97530-3206
Phone
(971) 284-2863
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Dr. Cody Moss, DC
Title
Owner
Phone
(971) 284-2863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

660 G St Ste a
Jacksonville, OR 97530-3206

Mailing address

660 G St Ste a
Jacksonville, OR 97530-3206
Phone (971) 284-2863

National Provider Directory

National Provider Directory

Locations

660 G St
Ste A
Jacksonville, OR 97530
Phone (541) 324-8638

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1659932358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 G ST STE A",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975303206",
            "telephone_number": "971-284-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 G ST STE A",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975303206",
            "telephone_number": "971-284-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT MINDSET CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-284-2863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.