Anthony Jerome Moldan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5373 Issued in MN

Practice address

320 Stadium Rd
Suite 300
Mankato, MN 56001-5165

Phone

(507) 387-7463

NPI assigned

May 1, 2010

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

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Riverridge Chiropractic P.a.

  • Chiropractor
  • Mankato, MN
  • NPI 1215941737
  Medicare reassignment NPD

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

{
    "created_epoch": "1272672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1366769259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 STADIUM RD",
            "address_2": "SUITE 300",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015165",
            "telephone_number": "507-387-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 STADIUM RD",
            "address_2": "SUITE 300",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015165",
            "telephone_number": "507-387-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDAN",
        "first_name": "ANTHONY",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-01",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Alfred Moen, LMFT
• Jordan J Moen, DPT, OCS
• Ismahan Osman Mohamed
• Rahma Osman Mohamed
• Satyajit Mohite, M.D., M.P.H.
• Andrea Noelle Moldstad, DNP, APRN, FNP-C
• Moments Hospice of Mankato LLC
• Kari Jeane Mongeon Wahlen, AGCNS-BC
• Jessica M Monsen, PA C
• Angela Lou Monson, DT, RDH

• Chiropractor in Mankato, MN
• Providers in Mankato, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.