Moss Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-896 Issued in ID

Legal business name

MOSS CHIROPRACTIC, P.A.

Practice address

1278 S Woodruff Ave
Idaho Falls, ID 83404-5544

Phone

(208) 524-3018

Fax

(208) 524-3019

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daryl A. Moss I, D.C.NPI 1255494977

Title

President

Phone

(208) 527-3039

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daryl A Moss, D.C.

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1255494977
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1912029604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045544",
            "telephone_number": "208-524-3018",
            "fax_number": "208-524-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045544",
            "telephone_number": "208-524-3018",
            "fax_number": "208-524-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-527-3039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010028117",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C1823",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807164600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bart Baty Morrison, D.DS., M.S.
• Jared D. Morrison, CSW
• Richard Morse
• Erin Morton
• Myra Emily Moses, LCSW
• Candis Caye Moss, LCSW
• Daryl A Moss, D.C.
• Renee Marie Moss, CMT
• Sheila Moss, FNP-C
• Moulton Periodontics, PLLC

• Chiropractor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.