NPIMap

Organization Active NPI

Mosley Chiropractic, P.C.

  • Chiropractor
  • Belleville, IL
National Provider Identifier
1689870099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOSLEY CHIROPRACTIC, P.C.
Practice address
4829 W Main St
Unit a
Belleville, IL 62226-4700
Phone
(618) 355-9510
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Danny Trent Mosley II, D.C.
Title
Ceo
Phone
(563) 343-3920

Specialties & licenses 1

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

Addresses

Primary practice location

4829 W Main St
Unit a
Belleville, IL 62226-4700

Mailing address

4829 W Main St
Unit a
Belleville, IL 62226-4700
Phone (618) 355-9510

National Provider Directory

National Provider Directory

Locations

4829 W Main St
Ste A
Belleville, IL 62226
Phone (618) 257-2220

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689870099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 W MAIN ST",
            "address_2": "UNIT A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264700",
            "telephone_number": "618-355-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 W MAIN ST",
            "address_2": "UNIT A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264700",
            "telephone_number": "618-355-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSLEY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-343-3920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.