Individual provider Active NPI

Jose Ricardo Moreno, DC

  • Chiropractor
  • McAllen, TX
National Provider Identifier
1750040044
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15026 Issued in TX
Practice address
3130 N 23Rd St
McAllen, TX 78501-6139
Phone
(956) 686-8060
NPI assigned
Dec 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Chiropractor 111N00000X 15026 TX Primary

Addresses

Primary practice location

3130 N 23Rd St
McAllen, TX 78501-6139

Mailing address

3130 N 23Rd St
McAllen, TX 78501-6139
Phone (956) 686-8060

Other practice location 1

4949 S Jackson Rd
Edinburg, TX 78539-7200
Phone (956) 305-6800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220331000911 TX Practitioner - Chiropractic 9436545472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3130 N 23Rd St
McAllen, TX 78501-6139
Phone (956) 686-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15026TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Pablo Tagle III Chiropractic Wellness & Spa Center Chiropractor CurrentSince Dec 22, 2021 Accepting new patients
Tri City Therapeutics, LLC PastSince Dec 21, 2021 Accepting new patients

Locations

4949 S Jackson Rd
Ste G
Edinburg, TX 78539
Phone (956) 686-8060

3130 N 23rd St
Ste B
McAllen, TX 78501

3130 N 23rd St
McAllen, TX 78501
Phone (956) 664-1816

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1750040044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N 23RD ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016139",
            "telephone_number": "956-686-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N 23RD ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016139",
            "telephone_number": "956-686-8060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4949 S Jackson Rd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785397200",
            "country_code": "US",
            "telephone_number": "956-305-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "JOSE",
        "middle_name": "RICARDO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.