Active NPI
Moses Family Chiropractic & Wellness Center, P.C.
- Chiropractor
- Shelby Township, MI
National Provider Identifier
1730377490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008704
- Legal business name
- MOSES FAMILY CHIROPRACTIC & WELLNESS CENTER, P.C.
- Practice address
- 45941 Hayes Rd
Shelby Township, MI 48315-6217 - Phone
- (586) 323-5060
- Fax
- (586) 323-5062
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack Alonzo Moses Jr., D.C.
- Title
- Owner
- Phone
- (586) 323-5060
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008704 | MI | Primary |
Addresses
Primary practice location
45941 Hayes Rd
Shelby Township, MI 48315-6217
Mailing address
PO Box 183051
Shelby Township, MI 48318-3051
Phone (586) 323-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Moses Family Chiropractic Wellness Center PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Shelby Township, MI
- NPI 1467883330
Locations
58851 Van Dyke Rd
Ste 300
Washington, MI 48094
Phone (586) 323-5060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Macomb, MI
- NPI 1538154620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386547200000",
"number": "1730377490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 183051",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483183051",
"telephone_number": "586-323-5060",
"fax_number": "586-323-5062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45941 HAYES RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483156217",
"telephone_number": "586-323-5060",
"fax_number": "586-323-5062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSES FAMILY CHIROPRACTIC & WELLNESS CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2013-12-09",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "ALONZO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-323-5060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.