Individual provider Active NPI

James L Moltzen

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1073991857
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32828 Issued in CA
Practice address
1956 Webster St
#250
Oakland, CA 94612-2947
Phone
(510) 444-7000
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32828 CA Primary

Addresses

Primary practice location

1956 Webster St
#250
Oakland, CA 94612-2947

Mailing address

1956 Webster St
#250
Oakland, CA 94612-2947
Phone (510) 444-7000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32828CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pape Chiropractic, Inc. Chiropractor Past Accepting new patients
Pape Chiropractic, Inc. Chiropractor Past Accepting new patients

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1073991857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 WEBSTER ST",
            "address_2": "#250",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122947",
            "telephone_number": "510-444-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 WEBSTER ST",
            "address_2": "#250",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122947",
            "telephone_number": "510-444-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTZEN",
        "first_name": "JAMES",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.