Active NPI
Georgetta Molnar
- Dentist
- Wasco, CA
National Provider Identifier
1063437853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47027
- Practice address
- 2101 7TH St
Wasco, CA 93280 - Phone
- (661) 758-5903
- Fax
- (661) 758-6630
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | A3352807 | CA | |
| Dentist | 122300000X | 47027 | CA | Primary |
Addresses
Primary practice location
2101 7TH St
Wasco, CA 93280
Mailing address
659 S. Central Valley Hwy
P.O. Box 1060
Shafter, CA 93263-1060
Phone (661) 459-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3352807 | CA | MD | Dentist |
| 36838 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1063437853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 S. CENTRAL VALLEY HWY",
"address_2": "P.O. BOX 1060",
"city": "SHAFTER",
"state": "CA",
"postal_code": "932631060",
"telephone_number": "661-459-1900",
"fax_number": "661-459-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 7TH ST",
"city": "WASCO",
"state": "CA",
"postal_code": "93280",
"telephone_number": "661-758-5903",
"fax_number": "661-758-6630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLNAR",
"first_name": "GEORGETTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "A3352807",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.