Active NPI
Joseph Hamilton Muldoon, D,C,
- Nutrition Chiropractor
- Slayton, MN
National Provider Identifier
1487788063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 2963
- Practice address
- 2710 Broadway Ave
Slayton, MN 56172-1314 - Phone
- (507) 836-8971
- Fax
- (507) 836-8972
- NPI assigned
- Mar 15, 2007
- Last updated
- Oct 16, 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2963 | MN | Primary |
Addresses
Primary practice location
2710 Broadway Ave
Slayton, MN 56172-1314
Mailing address
2710 Broadway Ave
Slayton, MN 56172-1314
Phone (507) 836-8971
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2963 | MN | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health Enhancement Centers, P.a. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fixen Chiropractic
- Chiropractor
- Marshall, MN
- NPI 1427282268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1487788063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 BROADWAY AVE",
"city": "SLAYTON",
"state": "MN",
"postal_code": "561721314",
"telephone_number": "507-836-8971",
"fax_number": "507-836-8972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 BROADWAY AVE",
"city": "SLAYTON",
"state": "MN",
"postal_code": "561721314",
"telephone_number": "507-836-8971",
"fax_number": "507-836-8972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDOON",
"first_name": "JOSEPH",
"middle_name": "HAMILTON",
"name_prefix": "Dr.",
"credential": "D,C,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MN",
"license": "2963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slayton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.