Individual provider Active NPI

Keith James Moeckel, DC

  • Chiropractor
  • Perryville, MO
National Provider Identifier
1841306024
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
IC005256 Issued in MO
Practice address
203 West Ste Joseph
Perryville, MO 63775
Phone
(573) 547-6591
Fax
(573) 547-2434
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IC005256 MO Primary

Addresses

Primary practice location

203 West Ste Joseph
Perryville, MO 63775

Mailing address

203 West Ste Joseph
Perryville, MO 63775
Phone (573) 547-6591

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090130000265 MO Practitioner - Chiropractic 9537223961 Receives reassigned benefits from 1 practitioner
Practice locations: Perryville, MO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 W Saint Joseph St
Perryville, MO 63775-1827
Phone (575) 547-6591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005256MOMDClinical Social Worker
IC005256MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Moeckel Chiropractic Physicians Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Locations

203 W Saint Joseph St
Perryville, MO 63775
Phone (573) 547-6591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1841306024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WEST STE JOSEPH",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "63775",
            "telephone_number": "573-547-6591",
            "fax_number": "573-547-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WEST STE JOSEPH",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "63775",
            "telephone_number": "573-547-6591",
            "fax_number": "573-547-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOECKEL",
        "first_name": "KEITH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "IC005256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.