NPIMap

Organization Active NPI

C.O.Moss, D.C. L.L.C.

  • Chiropractor
  • Spring Hill, FL
National Provider Identifier
1891812186
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
C.O.MOSS, D.C. L.L.C.
Practice address
1377 Deltona Blvd
Spring Hill, FL 34606-4412
Phone
(352) 683-7886
Fax
(352) 683-4799
NPI assigned
Mar 23, 2007
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Michael B Moss, D.C.NPI 1902807373
Title
Owner
Phone
(352) 683-7886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X FL Primary

Addresses

Primary practice location

1377 Deltona Blvd
Spring Hill, FL 34606-4412

Mailing address

1377 Deltona Blvd
Spring Hill, FL 34606-4412
Phone (352) 683-7886

Other names 1

  • Moss Chiropractic Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110615000818 FL Part B Supplier - Clinic/Group Practice 7810174075 Receives reassigned benefits from 4 practitioners
Practice locations: Spring Hill, FL

National Provider Directory

National Provider Directory

Locations

1377 Deltona Blvd
Spring Hill, FL 34606
Phone (352) 683-7886

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1891812186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064412",
            "telephone_number": "352-683-7886",
            "fax_number": "352-683-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064412",
            "telephone_number": "352-683-7886",
            "fax_number": "352-683-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.O.MOSS, D.C. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-683-7886",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moss Chiropractic Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.

Verify at the official NPI Registry.