Organization Active NPI

Ronald B. Moussette DC, PA

  • Chiropractor
  • Lady Lake, FL
National Provider Identifier
1942514849
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003522 Issued in FL
Legal business name
RONALD B. MOUSSETTE DC, PA
Practice address
712 S US Highway 441
Lady Lake, FL 32159-4540
Phone
(352) 750-5310
Fax
(352) 259-0734
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Ronald B. Moussette, DC
Title
Chiropractor
Phone
(352) 750-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0003522 FL Primary

Addresses

Primary practice location

712 S US Highway 441
Lady Lake, FL 32159-4540

Mailing address

712 S US Highway 441
Lady Lake, FL 32159-4540
Phone (352) 750-5310

Other identifiers 1

IdentifierTypeStateIssuer
88756OtherFLBC/BS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1942514849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S US HIGHWAY 441",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594540",
            "telephone_number": "352-750-5310",
            "fax_number": "352-259-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S US HIGHWAY 441",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594540",
            "telephone_number": "352-750-5310",
            "fax_number": "352-259-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD B. MOUSSETTE DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "MOUSSETTE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "352-750-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "88756",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.