Individual provider Active NPI

Bret Moldenhauer, L. AC., D. AC.

  • Acupuncturist
  • Chattanooga, TN
National Provider Identifier
1659567105
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU0000000009 Issued in TN
Practice address
325 Market St Ste 203
Chattanooga, TN 37402-1226
Phone
(423) 778-9407
Fax
(423) 778-9403
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU0000000009 TN Primary

Addresses

Primary practice location

325 Market St Ste 203
Chattanooga, TN 37402-1226

Mailing address

325 Market St Ste 203
Chattanooga, TN 37402-1226
Phone (423) 778-9407

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACU0000000009TNMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1659567105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MARKET ST STE 203",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374021226",
            "telephone_number": "423-778-9407",
            "fax_number": "423-778-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MARKET ST STE 203",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374021226",
            "telephone_number": "423-778-9407",
            "fax_number": "423-778-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDENHAUER",
        "first_name": "BRET",
        "name_prefix": "Mr.",
        "credential": "L. AC., D. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TN",
            "license": "ACU0000000009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.