DR. RICHARD LEE MOXON (NPI# 1437289972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437289972 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LEE MOXON |
| Credential | DC CCEP |
| Practice Address |
93 S Pioneer Rd Ste 200 Fond Du Lac WI 54936-1776 |
| Mailing Address |
N6463 S Pioneer Rd Fond Du Lac WI 54935-3853 |
| Practice Telephone | 9209071283 |
| Practice Fax Number | 9209071285 |
| Mailing Telephone | 9209071283 |
| Mailing Fax Number | 9209071285 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3019 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38880600 | 05 |
| Street Address |
93 S PIONEER RD STE 200 |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54936-1776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346385499 | Bret Zachary Johnson | Chiropractor | 195 East 14th St, Fond Du Lac, WI 54936-1451 | 2007-02-20 |
| 1407991573 | Timothy Johnson | Chiropractor | 195 East 14th St., Fond Du Lac, WI 54936-1451 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658772 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1073 E Johnson St, Fond Du Lac, WI 54935-8919 | 2020-10-27 |
| 1487251575 | Ronald Mesha Hardwick Jr. | Emergency Medical Technician, Basic | 263 S Marr St, Fond Du Lac, WI 54935-5075 | 2020-10-02 |
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1720697428 | Krissy K Vang | Registered Nurse | 290 Muenter Ave, Fond Du Lac, WI 54935-4735 | 2020-07-28 |
| 1326664376 | Paul Richard Hyalnd | Contractor | 17 Forest Ave Ste 12, Fond Du Lac, WI 54935-4165 | 2020-06-24 |
| 1154947737 | Agnesian Healthcare Inc | Preventive Medicine | 250 Camelot Dr, Fond Du Lac, WI 54935-8029 | 2020-06-19 |
| 1356970370 | Nathaniel Anthony Strigenz | Student in an Organized Health Care Education/Training Program | 1996 Golf Course Dr, Fond Du Lac, WI 54937-6100 | 2020-04-02 |
| 1003440942 | Heather Konen | Registered Nurse | W2761 Poplar Rd, Fond Du Lac, WI 54937-6588 | 2020-03-01 |
| 1386283810 | Troy William Sheide | Psychologist | 498 Ruggles St, Fond Du Lac, WI 54935-3931 | 2020-01-01 |
| 1710523774 | Lisa Diane Brown | Social Worker | W3950 Wi-23 Trunk, Fond Du Lac, WI 54937 | 2019-11-25 |
| Find all providers in FOND DU LAC | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790278695 | Fond Du Lac Family Chiropractic LLC | Chiropractor | 924 Forest Ave Ste 101, Fond Du Lac, WI 54935-3808 | 2018-06-14 |
| 1154594059 | Moxon Chiropractic, S.c. | Chiropractor | 93 S Pioneer Rd, 200, Fond Du Lac, WI 54935-3873 | 2008-04-11 |
| 1639351026 | Ideal Chiropractic of Fond Du Lac LLC | Chiropractor | 976 E Johnson St Ste 900, Fond Du Lac, WI 54935-9747 | 2007-11-28 |
| 1346385499 | Bret Zachary Johnson | Chiropractor | 195 East 14th St, Fond Du Lac, WI 54936-1451 | 2007-02-20 |
| 1407991573 | Timothy Johnson | Chiropractor | 195 East 14th St., Fond Du Lac, WI 54936-1451 | 2007-02-20 |
| 1386785574 | James A Early | Chiropractor | 1211 Rickmeyer Dr, Fond Du Lac, WI 54937-2213 | 2007-02-09 |
| 1063589505 | Jessica L Serwe | Chiropractor | 976 E Johnson St, Suite 900, Fond Du Lac, WI 54935-9746 | 2006-11-29 |
| 1174629026 | Vickie L Goldapske | Chiropractor | 952 South Park Avenue, Fond Du Lac, WI 54935 | 2006-09-16 |
| 1265464192 | Daniel Dean Farina | Chiropractor | 85 N Pioneer Rd, Fond Du Lac, WI 54935-9400 | 2006-07-07 |
| 1063444982 | Shayne Michael Bauer | Chiropractor | 355 N Peters Ave., Fond Du Lac, WI 54935-9400 | 2006-07-07 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54936 |
Please comment or provide details below to improve the information on DR. RICHARD LEE MOXON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.