Organization Active NPI

Moss Chiropractic & Nutrition Inc

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1740505395
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 24521 Issued in CA
Legal business name
MOSS CHIROPRACTIC & NUTRITION INC
Practice address
1617 Westcliff Dr
Suite 202
Newport Beach, CA 92660-5524
Phone
(949) 722-1955
Fax
(949) 722-9555
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Dr. Serra Moss, D.C.
Title
President
Phone
(949) 722-1955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 24521 CA Primary

Addresses

Primary practice location

1617 Westcliff Dr
Suite 202
Newport Beach, CA 92660-5524

Mailing address

1617 Westcliff Dr
Suite 202
Newport Beach, CA 92660-5524
Phone (949) 722-1955

National Provider Directory

National Provider Directory

Locations

1617 Westcliff Dr
Ste 202
Newport Beach, CA 92660
Phone (949) 644-2858

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1740505395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 WESTCLIFF DR",
            "address_2": "SUITE 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605524",
            "telephone_number": "949-722-1955",
            "fax_number": "949-722-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 WESTCLIFF DR",
            "address_2": "SUITE 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605524",
            "telephone_number": "949-722-1955",
            "fax_number": "949-722-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS CHIROPRACTIC & NUTRITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "SERRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-722-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 24521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.