Moulton Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13431 Issued in TX

Legal business name

MOULTON CHIROPRACTIC

Practice address

621 N Main St
Suite 415 & 440
Grapevine, TX 76051-9213

Phone

(402) 577-0566

NPI assigned

Apr 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kael Marie Moulton, D.C.NPI 1568902047

Title

Chiropractor

Phone

(402) 577-0566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Kael Moulton, D.C.

  • Chiropractor
  • Southlake, TX
  • NPI 1568902047
  Medicare reassignment Care Compare group NPD Authorized official
• Nathaniel Alan Worden, DC

  • Chiropractor
  • Grapevine, TX
  • NPI 1285255828
  Medicare reassignment Care Compare group NPD
• Brennan J Riche', DC

  • Rehabilitation Chiropractor
  • Grapevine, TX
  • NPI 1013481134
  NPD

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1972037505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 BEAR HAVEN DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513880",
            "telephone_number": "402-577-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N MAIN ST",
            "address_2": "SUITE 415 & 440",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519213",
            "telephone_number": "402-577-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULTON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "KAEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "402-577-0566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen A Moser, D.O.
• Joseph Moss, PHARMD
• Rebecca Estrada Mota, LVN
• Mother Eve'S Childbearing Support Services, LLC.
• Arden Renee Moulin, RNC,WHCNP
• Vandara Mounarath, D.C.
• Mount Tabor Counseling Texas Inc
• Anna Tharwat Moussa, PHARMD
• MSPF-IV Grapevine Oe, LP
• Katy Mukadi

• Chiropractor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.