Individual provider Active NPI

Robert Martinez Molato, DC

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1003416538
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61101226 Issued in WA
Practice address
1946 4TH Ave E
Olympia, WA 98506-4632
Phone
(360) 352-3333
NPI assigned
Oct 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61101226 WA Primary

Addresses

Primary practice location

1946 4TH Ave E
Olympia, WA 98506-4632

Mailing address

1946 4TH Ave E
Olympia, WA 98506-4632
Phone (910) 546-3318

Other practice location 1

5106 Donnelly Dr SE
Olympia, WA 98501-5012
Phone (910) 546-3318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210329002558 WA Practitioner - Chiropractic 8527475094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1946 4TH Ave E
Olympia, WA 98506-4632
Phone (910) 546-3318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Molato PC Chiropractor CurrentSince Dec 29, 2020 Accepting new patients

Locations

1946 4th Ave E
Olympia, WA 98506
Phone (360) 352-3333

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 1

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1003416538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064632",
            "telephone_number": "910-546-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064632",
            "telephone_number": "360-352-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5106 Donnelly Dr SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985015012",
            "country_code": "US",
            "telephone_number": "910-546-3318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLATO",
        "first_name": "ROBERT",
        "middle_name": "MARTINEZ",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61101226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.