Individual provider Active NPI

Michael B Moss, DC

  • Chiropractor
  • Spring Hill, FL
National Provider Identifier
1902807373
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006661 Issued in FL
Practice address
377 Deltona Blvd
Spring Hill, FL 34606
Phone
(352) 683-7886
Fax
(352) 683-4799
NPI assigned
Aug 9, 2005
Last updated
Sep 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006661 FL Primary

Addresses

Primary practice location

377 Deltona Blvd
Spring Hill, FL 34606

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000224 FL Practitioner - Chiropractic 5193768182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C.O.Moss, DC LLCGroup PAC ID 7810174075, 3 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6661FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
C.O.Moss, D.C. L.L.C. Chiropractor CurrentSince Jan 18, 2002 Accepting new patients
Ledgeb, LLC PastSince Jan 18, 2002 Accepting new patients

Locations

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

Networks

  • Optimum HealthCare HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1902807373",
    "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": "377 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34606",
            "telephone_number": "352-683-7886",
            "fax_number": "352-683-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 18, 2007; 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.