Active NPI
Richard John Molina, D.C.
- Chiropractor
- Kailua Kona, HI
National Provider Identifier
1477517985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23326
- Practice address
- 75-240 Nani Kailua Dr
Suite 3
Kailua Kona, HI 96740-2074 - Phone
- (808) 331-8333
- Fax
- (949) 606-0377
- NPI assigned
- Apr 12, 2006
- 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 | DC23326 | CA | Primary |
Addresses
Primary practice location
75-240 Nani Kailua Dr
Suite 3
Kailua Kona, HI 96740-2074
Mailing address
75-240 Nani Kailua Dr
Suite 3
Kailua Kona, HI 96740-2074
Phone (808) 331-8333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2589712 | Other | CA | AETNA HMO/POS |
| 1021340 | Other | CA | AMERICAN SPECIALTY HEALTH |
| DC0233260 | Medicaid | CA | |
| 0007293269 | Other | CA | AETNA TRAD/EPO |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Chiropractic Professional Corporation | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- San Clemente, CA
- NPI 1205890712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1477517985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-240 NANI KAILUA DR",
"address_2": "SUITE 3",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402074",
"telephone_number": "808-331-8333",
"fax_number": "949-606-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-240 NANI KAILUA DR",
"address_2": "SUITE 3",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402074",
"telephone_number": "808-331-8333",
"fax_number": "949-606-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "RICHARD",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO/POS",
"identifier": "2589712",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTY HEALTH",
"identifier": "1021340",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0233260",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA TRAD/EPO",
"identifier": "0007293269",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.