Individual provider Active NPI

Gregg F Moses, D.C.

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1881616142
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00005949 Issued in FL
Practice address
1800 Forest Hill Blvd
Suite A8-10
West Palm Beach, FL 33406-6094
Phone
(561) 641-9211
Fax
(561) 641-2188
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00005949 FL Primary

Addresses

Primary practice location

1800 Forest Hill Blvd
Suite A8-10
West Palm Beach, FL 33406-6094

Mailing address

1800 Forest Hill Blvd
Suite A8-10
West Palm Beach, FL 33406-6094
Phone (561) 641-9211

Other identifiers 5

IdentifierTypeStateIssuer
22321ZOtherFLMEDICARE INDIVIDUAL PTAN
1336403989OtherFLGROUP NPI
GF490AOtherFLMEDICARE GROUP PTAN
650760094OtherFLTAX ID NO.
1881616142OtherFLINDIVIDUAL NPI

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
CH00005949FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1881616142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FOREST HILL BLVD",
            "address_2": "SUITE A8-10",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066094",
            "telephone_number": "561-641-9211",
            "fax_number": "561-641-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FOREST HILL BLVD",
            "address_2": "SUITE A8-10",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066094",
            "telephone_number": "561-641-9211",
            "fax_number": "561-641-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "GREGG",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH00005949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "22321Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1336403989",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP  PTAN",
            "identifier": "GF490A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NO.",
            "identifier": "650760094",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1881616142",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.