Individual provider Active NPI

Joseph Moen

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1972969293
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1283 Issued in SD
Practice address
5800 E 18TH St
Ste 102
Sioux Falls, SD 57110-2711
Phone
(605) 371-3533
Fax
(605) 371-1781
NPI assigned
Jan 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1283 SD Primary

Addresses

Primary practice location

5800 E 18TH St
Ste 102
Sioux Falls, SD 57110-2711

Mailing address

5800 E 18TH St
Ste 102
Sioux Falls, SD 57110-2711
Phone (307) 286-2994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308002778 SD Practitioner - Chiropractic 8628373040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5800 E 18TH St
Suite 102
Sioux Falls, SD 57110-2711
Phone (605) 799-2440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1283SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Health - Chiropractic & Wellness, Prof. LLC Chiropractor CurrentSince Aug 22, 2019 Accepting new patients
Hillary Pulse PC Chiropractor CurrentSince May 28, 2017 Accepting new patients

Locations

2121 W 63rd Pl
Ste 300
Sioux Falls, SD 57108
Phone (605) 323-1166

5800 E 18th St
Ste 102
Sioux Falls, SD 57110
Phone (307) 286-2994

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1972969293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 E 18TH ST",
            "address_2": "STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571102711",
            "telephone_number": "307-286-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 E 18TH ST",
            "address_2": "STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571102711",
            "telephone_number": "605-371-3533",
            "fax_number": "605-371-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEN",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-04",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.