Individual provider Active NPI

Dieudonne Antoine Moise-Birch, DC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1871123950
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008245 Issued in CO
Practice address
1356 N Academy Blvd
Colorado Springs, CO 80909-3314
Phone
(719) 574-6006
NPI assigned
Jan 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06022 KS
Chiropractor 111N00000X CHR.0008245 CO Primary

Addresses

Primary practice location

1356 N Academy Blvd
Colorado Springs, CO 80909-3314

Mailing address

2505 Kachina Dr
Pueblo, CO 81008-1573
Phone (719) 544-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06022KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pikes Peak Spine & Joint LLC PastSince Jun 2, 2022 Accepting new patients
Fit Muscle & Joint Clinic LLC PastSince Jan 1, 2020 Accepting new patients

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": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1871123950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 KACHINA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081573",
            "telephone_number": "719-544-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093314",
            "telephone_number": "719-574-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISE-BIRCH",
        "first_name": "DIEUDONNE",
        "middle_name": "ANTOINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-17",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06022",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.