Timothy Moller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0007718 Issued in CO

Practice address

2995 Baseline Rd
Boulder, CO 80303

Phone

(303) 444-0192

NPI assigned

Jan 11, 2017

Last updated

Aug 21, 2019By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1245776442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PERRY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802191235",
            "telephone_number": "631-741-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 BASELINE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "303-444-0192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 South Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fanwood",
            "state": "NJ",
            "postal_code": "070231364",
            "country_code": "US",
            "telephone_number": "908-288-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLER",
        "first_name": "TIMOTHY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-11",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Moinicken, LPC
• Shiraz Moinuddin, M.D.
• Julie Mol
• Sarah Moley, L.AC.,MSAC,MA PSYCH
• Mildred Molina-Gutierrez
• Krystin Alexandra Moltner, M.S.
• Momentum Counseling and Consulting LLC
• Momentum Counseling and Consulting LLC
• Kathleen Monahan, DO
• Monarch Behavioral Therapy Bii, LLC

• Chiropractor in Boulder, CO
• Providers in Boulder, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.