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DERRYL E MOON DC
NPI 1396758611
Chiropractor in Fairmount, ND

Active since August 15, 2006
110 MAIN STREET, FAIRMOUNT, ND 58030(701) 474-5948 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derryl E Moon Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRYL E MOON DC (NPI 1396758611) is an individual chiropractor in Fairmount, North Dakota, licensed in North Dakota (342) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1396758611
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDERRYL E MOONCredential: DC
Location Address110 MAIN STREETFairmount, ND 58030-0291
Mailing AddressPo Box 291Fairmount, ND 58030-0291 · (701) 474-5948
Phone(701) 474-5948
Sole ProprietorYes
Enumeration DateAugust 15, 2006
Last NPPES UpdateDecember 12, 2007
✔ NPI 1396758611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ND · 342
Definition
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.
110 MAIN STREET, Fairmount, ND 58030
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Other Identifiers 1

Medicare PINN4276ND

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derryl Moon's NPI number?

The NPI number for Derryl Moon is 1396758611. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Derryl Moon located?

Derryl Moon practices at 110 Main Street, Fairmount, ND 58030. The listed phone number is (701) 474-5948.

What is Derryl Moon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Derryl Moon was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.