Javier Molina, SUB IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2150 Thresher Ave
Silverdale, WA 98315-2103

Phone

(510) 331-9290

NPI assigned

Oct 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1114525730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 THRESHER AVE",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983152150",
            "telephone_number": "360-315-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 THRESHER AVE",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983152103",
            "telephone_number": "510-331-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "SUB IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takashi Misuda, P.T.
• Erriael Roshell Mitchell
• Marc A Mitchell, DO
• Mindy Mitchell, LMP
• Spring Mechiael Moen, LMP
• Monica Anderson LMHC
• David M Monroe, MD, MPH
• Samantha R Monteagudo, DPT
• Gregory Montgomery, D.D.S
• Kristie A Montgomery

• Independent Duty Corpsman in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Independent Duty Corpsman in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.