Individual provider Active NPI

Jennifer Judith Moses, D.C.

  • Chiropractor
  • Dearborn, MI
National Provider Identifier
1942242987
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009199 Issued in MI
Practice address
6549 Schaefer Rd
Dearborn, MI 48126-1812
Phone
(313) 582-5433
Fax
(313) 582-3388
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009199 MI Primary

Addresses

Primary practice location

6549 Schaefer Rd
Dearborn, MI 48126-1812

Mailing address

6549 Schaefer Rd
Dearborn, MI 48126-1812
Phone (313) 582-5433

Other practice location 1

2310 Immokalee Rd
Naples, FL 34110-1414
Phone (239) 592-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009199MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1942242987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261812",
            "telephone_number": "313-582-5433",
            "fax_number": "313-582-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6549 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261812",
            "telephone_number": "313-582-5433",
            "fax_number": "313-582-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 Immokalee Rd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341101414",
            "country_code": "US",
            "telephone_number": "239-592-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "JENNIFER",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.