Organization Active NPI

Moss Family Chiropractic, Inc

  • Chiropractor
  • Canton, GA
National Provider Identifier
1689890923
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7524 Issued in GA
Legal business name
MOSS FAMILY CHIROPRACTIC, INC
Practice address
8016 Cumming Hwy
Ste 304
Canton, GA 30115-9350
Phone
(770) 345-9355
Fax
(770) 345-4290
NPI assigned
Apr 17, 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. Daniel R Moss, D.C.NPI 1306891858
Title
Chiropractor
Phone
(770) 345-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7524 GA Primary

Addresses

Primary practice location

8016 Cumming Hwy
Ste 304
Canton, GA 30115-9350

Mailing address

8016 Cumming Hwy
Ste 304
Canton, GA 30115-9350
Phone (770) 345-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050817000698 GA Part B Supplier - Clinic/Group Practice 0345270542 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, GA

National Provider Directory

National Provider Directory

Locations

8016 Cumming Hwy
Ste 304
Canton, GA 30115
Phone (770) 345-9355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689890923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 CUMMING HWY",
            "address_2": "STE 304",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159350",
            "telephone_number": "770-345-9355",
            "fax_number": "770-345-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8016 CUMMING HWY",
            "address_2": "STE 304",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159350",
            "telephone_number": "770-345-9355",
            "fax_number": "770-345-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS FAMILY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-345-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "7524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.