Active NPI
Stephen L. Moleski, D.C.
- Chiropractor
- Tallahassee, FL
National Provider Identifier
1386775310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3306
- Practice address
- 1960 Buford Blvd
Suite a
Tallahassee, FL 32308-4494 - Phone
- (850) 878-5636
- Fax
- (850) 878-2911
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 3306 | FL | Primary |
Addresses
Primary practice location
1960 Buford Blvd
Suite a
Tallahassee, FL 32308-4494
Mailing address
1960 Buford Blvd
Suite a
Tallahassee, FL 32308-4494
Phone (850) 878-5636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88448 | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120131000904 | FL | Practitioner - Chiropractic | 3173780244 | Practice locations: Tallahassee, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3306 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386775310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 BUFORD BLVD",
"address_2": "SUITE A",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084494",
"telephone_number": "850-878-5636",
"fax_number": "850-878-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 BUFORD BLVD",
"address_2": "SUITE A",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084494",
"telephone_number": "850-878-5636",
"fax_number": "850-878-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLESKI",
"first_name": "STEPHEN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "3306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "88448",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.