Moses Lake Chiropractic Center PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MOSES LAKE CHIROPRACTIC CENTER PS

Practice address

414 Beech Street
Moses Lake, WA 98837-1914

Phone

(509) 765-9235

NPI assigned

Dec 10, 2007

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger Leroy Fairbanks, DC DOCTOR OF CHIROPR

Title

President Moses Lake Chiropractic P

Phone

(509) 765-9235

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1669655056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 BEECH STREET",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371914",
            "telephone_number": "509-765-9235",
            "fax_number": "509-765-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 BEECH STREET",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371914",
            "telephone_number": "509-765-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES LAKE CHIROPRACTIC CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT MOSES LAKE CHIROPRACTIC P",
        "authorized_official_telephone_number": "509-765-9235",
        "authorized_official_credential": "DC DOCTOR OF CHIROPR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Morehouse, HIS
• Paula Renee Moreno, P.A.
• Clifford W Morgan, DDS
• Linda Lee Morgan, LM
• Moses Lake
• Moses Lake Community Health Center
• Moses Lake Community Health Center
• Moses Lake Community Health Center
• Moses Lake Community Health Center
• Moses Lake Community Health Center

• Chiropractor in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.