Active NPI
Emily Olivia Moon, D.C.
- Chiropractor
- Lawton, OK
National Provider Identifier
1942014717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4653
- Practice address
- 1201 W Gore Blvd Ste a
Lawton, OK 73501-3629 - Phone
- (580) 353-6776
- Fax
- (580) 353-1214
- NPI assigned
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4653 | OK | Primary |
Addresses
Primary practice location
1201 W Gore Blvd Ste a
Lawton, OK 73501-3629
Mailing address
1201 W Gore Blvd Ste a
Lawton, OK 73501-3629
Phone (580) 353-6776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250213003259 | OK | Practitioner - Chiropractic | 2466982806 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aaragon Chiropractic Inc
Practice addresses (Care Compare)
1201 W Gore Blvd
Suite a
Lawton, OK 73501-3629
Phone (580) 353-6776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4653 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaragon Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
1201 W Gore Blvd
Ste A
Lawton, OK 73501
Phone (580) 353-6776
Organizations & group practices 1
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.
-
- Chiropractor
- Lawton, OK
- NPI 1417054123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1942014717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W GORE BLVD STE A",
"city": "LAWTON",
"state": "OK",
"postal_code": "735013629",
"telephone_number": "580-353-6776",
"fax_number": "580-353-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W GORE BLVD STE A",
"city": "LAWTON",
"state": "OK",
"postal_code": "735013629",
"telephone_number": "580-353-6776",
"fax_number": "580-353-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "EMILY",
"middle_name": "OLIVIA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.