Active NPI
Scott A Moon, D.C.
- Chiropractor
- Kingman, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5153
- Practice address
- 1751 N Stockton Hill Rd
Suite B
Kingman, AZ 86401-6601 - Phone
- (928) 753-1120
- Fax
- (928) 753-6191
- NPI assigned
- May 23, 2006
- Last updated
- May 3, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 5153 | AZ | Primary |
Addresses
Primary practice location
1751 N Stockton Hill Rd
Suite B
Kingman, AZ 86401-6601
Mailing address
1751 Stockton Hill Road
Suite B
Kingman, AZ 86401-6601
Phone (928) 753-1120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1751 N Stockton Hill Rd
Suite B
Kingman, AZ 86401-6601
Phone (928) 753-1120
1751 N Stockton Hill Rd B
Kingman, AZ 86401-6601
1751 Stockton Hill Rd
Suite B
Kingman, AZ 86401-6601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5153 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moon Chiropractic Center, PLLC | Chiropractor | Current | Accepting new patients |
Locations
1751 N Stockton Hill Rd
Ste B
Kingman, AZ 86401
Phone (928) 715-9258
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
- Kingman, AZ
- NPI 1467630194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1801841341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 STOCKTON HILL ROAD",
"address_2": "SUITE B",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864016601",
"telephone_number": "928-753-1120",
"fax_number": "928-753-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 N STOCKTON HILL RD",
"address_2": "SUITE B",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864016601",
"telephone_number": "928-753-1120",
"fax_number": "928-753-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.