Active NPI
John Carl Molthen, DC
- Chiropractor
- Stockton, CA
National Provider Identifier
1568479806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26904
- Practice address
- 4795 E State Route 88
Stockton, CA 95215 - Phone
- (209) 931-3304
- Fax
- (209) 931-3324
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | DC26904 | CA | Primary |
Addresses
Primary practice location
4795 E State Route 88
Stockton, CA 95215
Mailing address
505 Elm Ave
Modesto, CA 95351
Phone (209) 526-3839
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 |
|---|---|---|---|
| 26904 | CA | MD | Clinical Social Worker |
| DC26904 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hayes Chiropractic Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568479806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ELM AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "95351",
"telephone_number": "209-526-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4795 E STATE ROUTE 88",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95215",
"telephone_number": "209-931-3304",
"fax_number": "209-931-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLTHEN",
"first_name": "JOHN",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.