Individual provider Active NPI

Victoria-Lee Ngar-Yan Moy, DC, PHARMD

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1790168003
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2023009810 Issued in MO
Practice address
3237 W Truman Blvd Ste 100
Jefferson City, MO 65109-6944
Phone
(573) 635-0062
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2014041515 MO
Chiropractor 111N00000X 2023009810 MO Primary

Addresses

Primary practice location

3237 W Truman Blvd Ste 100
Jefferson City, MO 65109-6944

Mailing address

3237 W Truman Blvd Ste 100
Jefferson City, MO 65109-6944

Other practice location 1

1739 Elm Ct Ste 101
Jefferson City, MO 65101-4303
Phone (573) 635-4747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230429000283 MO Practitioner - Chiropractic 4385009133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2023009810MOMDChiropractor
2014041515MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic Clinic LLC CurrentSince Apr 11, 2023 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

1739 E Elm St
Align Chiropractic Clinic E LLC
Jefferson City, MO 65101
Phone (573) 635-4747

1739 E Elm St
Align Chiro E LLC
Jefferson City, MO 65101
Phone (573) 635-4747

1739 E Elm St
Align Chiropractic Clinic E LLC
Jefferson City, MO 65101

3237 W Truman Blvd
Ste 100
Jefferson Cty, MO 65109
Phone (573) 635-0062

Organizations & group practices 3

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1790168003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 W TRUMAN BLVD STE 100",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 W TRUMAN BLVD STE 100",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096944",
            "telephone_number": "573-635-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1739 Elm Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651014303",
            "country_code": "US",
            "telephone_number": "573-635-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOY",
        "first_name": "VICTORIA-LEE",
        "middle_name": "NGAR-YAN",
        "credential": "DC, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2014041515",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023009810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.