Individual provider Active NPI

Emily Olivia Moon, D.C.

  • Chiropractor
  • Lawton, OK
National Provider Identifier
1942014717
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4653 Issued in OK
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

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 7618069923, 3 clinicians

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

LicenseStateTypeSpecialty
4653OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aaragon Chiropractic Inc Chiropractor CurrentSince Feb 3, 2025 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.

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.

Verify at the official NPI Registry.