Active NPI
Bruce Alan Moseng, DC
- Chiropractor
- Cottonwood, AZ
National Provider Identifier
1841401700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7085
- Practice address
- 240 Jennifer Lane
Ste 103
Cottonwood, AZ 86326 - Phone
- (928) 634-0733
- Fax
- (928) 634-0735
- NPI assigned
- May 24, 2007
- 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 | 7085 | AZ | Primary |
Addresses
Primary practice location
240 Jennifer Lane
Ste 103
Cottonwood, AZ 86326
Mailing address
240 Jennifer Lane
Ste 103
Cottonwood, AZ 86326
Phone (928) 634-0733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040504001024 | AZ | Practitioner - Chiropractic | 1153319520 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841401700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 JENNIFER LANE",
"address_2": "STE 103",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "86326",
"telephone_number": "928-634-0733",
"fax_number": "928-634-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 JENNIFER LANE",
"address_2": "STE 103",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "86326",
"telephone_number": "928-634-0733",
"fax_number": "928-634-0735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSENG",
"first_name": "BRUCE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.