Active NPI
Jeremy William Moffitt, DC
- Chiropractor
- Indio, CA
National Provider Identifier
1942362728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 29077
- Practice address
- 80150 US Highway 111
Ste C-5
Indio, CA 92201-8359 - Phone
- (760) 863-0435
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- 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 | 29077 | CA | Primary |
Addresses
Primary practice location
80150 US Highway 111
Ste C-5
Indio, CA 92201-8359
Mailing address
80-150 Highway 111
Ste C-5
Indio, CA 92201
Phone (760) 863-0435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80150 US Hwy 111
Suite C5
Indio, CA 92201-8360
Phone (760) 863-0435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29077 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moffitt Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
80150 US Highway 111
Ste C5
Indio, CA 92201
Phone (760) 863-0435
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
- Indio, CA
- NPI 1629297221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942362728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80-150 HIGHWAY 111",
"address_2": "STE C-5",
"city": "INDIO",
"state": "CA",
"postal_code": "92201",
"telephone_number": "760-863-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80150 US HIGHWAY 111",
"address_2": "STE C-5",
"city": "INDIO",
"state": "CA",
"postal_code": "922018359",
"telephone_number": "760-863-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFITT",
"first_name": "JEREMY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "29077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.