David Earl Moss, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004790 Issued in MI

Practice address

429 N Paw Paw St
Coloma, MI 49038-9567

Phone

(269) 468-5775

Fax

(269) 468-3447

NPI assigned

Dec 7, 2005

Last updated

Oct 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moss Chiropractic Clinic P.C.

  • Chiropractor
  • Coloma, MI
  • NPI 1316123102
  Medicare reassignment
• McCanse Chiropractic Clinic

  • Chiropractor
  • Decatur, MI
  • NPI 1487052783
  NPD (past)
• Orrison Rehabilitation Services, LLC

  dba Tri-City Physical Therapy

  • Orthopedic Physical Therapist
  • Coloma, MI
  • NPI 1013105113
  NPD (past)
• Startup Center for Inner Peace, PLLC

  • Clinical Social Worker
  • Coloma, MI
  • NPI 1073852943
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1679558134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490380224",
            "telephone_number": "269-468-5775",
            "fax_number": "269-468-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N PAW PAW ST",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490389567",
            "telephone_number": "269-468-5775",
            "fax_number": "269-468-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6560 Red Arrow Hwy",
            "address_purpose": "LOCATION",
            "city": "Coloma",
            "state": "MI",
            "postal_code": "490388700",
            "country_code": "US",
            "telephone_number": "269-468-5775",
            "fax_number": "269-468-3447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "DAVID",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DM004790",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBA UHC PHP",
            "identifier": "4430062",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950A111470",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI PLAN",
            "identifier": "12510467",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aurora B Madanguit, MD
• Michael E Mayle, D.O.
• Samuel Robert Miller, LMT
• Lori Mizwicki
• Moss Chiropractic Clinic P.C.
• Edwin Keith Newington, PA-C
• Nanette Ann Nichols
• Kelsey Nimtz
• Miriam Opara, PHARMD
• Orrison Rehabilitation Services, LLC (Tri-City Physical Therapy)

• Chiropractor in Coloma, MI
• Providers in Coloma, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.