Active NPI
Tyler Molstre, D.C.
- Chiropractor
- Waukee, IA
National Provider Identifier
1114011822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06767
- Practice address
- 14225 University Avenue
118
Waukee, IA 50263 - Phone
- (515) 225-2266
- Fax
- (515) 225-2296
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06767 | IA | Primary |
Addresses
Primary practice location
14225 University Avenue
118
Waukee, IA 50263
Mailing address
14225 University Avenue
118
Waukee, IA 50263
Phone (515) 225-2266
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06767 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molstre Inc. | Chiropractor | Past | Accepting new patients |
| Apex Chiropractic LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Saint Charles, IA
- NPI 1487212429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114011822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14225 UNIVERSITY AVENUE",
"address_2": "118",
"city": "WAUKEE",
"state": "IA",
"postal_code": "50263",
"telephone_number": "515-225-2266",
"fax_number": "515-225-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14225 UNIVERSITY AVENUE",
"address_2": "118",
"city": "WAUKEE",
"state": "IA",
"postal_code": "50263",
"telephone_number": "515-225-2266",
"fax_number": "515-225-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLSTRE",
"first_name": "TYLER",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.