Joseph Michael Moon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011313 Issued in PA

Practice address

18947 Park Avenue PLZ
Meadville, PA 16335-4015

Phone

(814) 807-0040

NPI assigned

Nov 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Moon Chiropractic, PC

  • Chiropractor
  • Meadville, PA
  • NPI 1598351397
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1962916155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 PARK AVENUE PLZ",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354015",
            "telephone_number": "814-807-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 PARK AVENUE PLZ",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354015",
            "telephone_number": "814-807-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-27",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MMC Pharmacy Inc
• Lisa Moffitt, OD
• Bryan Douglas Moles, D.O.
• Ryan G Molli, DO
• Moon Chiropractic, PC
• Sarah Emily Moore, LSW
• Tawnya Marie Morian, DPT
• Michelle Elizabeth Morris
• Tiffany Dawn Morris, LMT
• Michael Mosley, CRNP

• Chiropractor in Meadville, PA
• Providers in Meadville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.