Randell Wayne Moss, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4692 Issued in TX

Practice address

821 N. Nolan River Rd.
Cleburne, TX 76033

Phone

(817) 641-4042

Fax

(817) 645-4357

NPI assigned

Aug 5, 2006

Last updated

Aug 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic and Sports ClinicGroup PAC ID 1254489057, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic & Sports Clinic

  • Chiropractor
  • Cleburne, TX
  • NPI 1528268695
  Medicare reassignment Care Compare group NPD Authorized official
• Cleburne Integrated Wellness PA

  • Family Medicine Physician
  • Cleburne, TX
  • NPI 1366886939
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1972512531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N. NOLAN RIVER RD.",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "817-641-4042",
            "fax_number": "817-645-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N. NOLAN RIVER RD.",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "817-641-4042",
            "fax_number": "817-645-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "RANDELL",
        "middle_name": "WAYNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4361073",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A7230",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "350027566",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Morris, LCSW-S
• Morrow Inc
• Melody Hope Morrow, CPM, LM
• Stephanie J Morton, MD
• Melanie Moser
• Paul Mowrey IV
• Katelyn Elizabeth Murphy
• Nabil K Aboukhair MD PA
• Henry H Nance Jr., D.O.
• Naomi R. Harman, M.D., P.a. (Dr. Naomi R. Harman, MD PA)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.