Active NPI
Noah Jacob Moos, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1720370703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11569
- Practice address
- 1715 E 6TH St
Suite 212
Austin, TX 78702-2771 - Phone
- (512) 524-5292
- NPI assigned
- May 9, 2011
- Last updated
- May 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11569 | TX | Primary |
Addresses
Primary practice location
1715 E 6TH St
Suite 212
Austin, TX 78702-2771
Mailing address
1715 E 6TH St
Suite 212
Austin, TX 78702-2771
Phone (512) 524-5292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11569 | TX | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Austin, TX
- NPI 1679865653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1720370703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 E 6TH ST",
"address_2": "SUITE 212",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787022771",
"telephone_number": "512-524-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 E 6TH ST",
"address_2": "SUITE 212",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787022771",
"telephone_number": "512-524-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOS",
"first_name": "NOAH",
"middle_name": "JACOB",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-09",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.