Active NPI
Da Molthen JP Earnest Doctors of Chiropractic Apc
- Chiropractor
- Tustin, CA
National Provider Identifier
1689691511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 8967
- Legal business name
- DA MOLTHEN JP EARNEST DOCTORS OF CHIROPRACTIC APC
- Practice address
- 14742 Plaza Dr
Ste 101
Tustin, CA 92780 - Phone
- (714) 838-1255
- Fax
- (714) 838-5784
- NPI assigned
- Jul 16, 2006
- Last updated
- May 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John P Earnst, DC
- Title
- Vice President
- Phone
- (714) 838-1255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 8967 | CA | Primary |
Addresses
Primary practice location
14742 Plaza Dr
Ste 101
Tustin, CA 92780
Mailing address
14742 Plaza Dr
Ste 101
Tustin, CA 92780
Phone (714) 838-1255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ77122Z | Other | CA | BLUE SHIELD |
Other names 1
- DA Molthen JP Earnest TW Tucker Doctors of Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1950 S Brea Canyon Rd
Ste 6
Diamond Bar, CA 91765
Phone (909) 612-1060
14742 Plaza Dr
Ste 203
Tustin, CA 92780
Phone (714) 838-1255
14742 Plaza Dr
Ste 101
Tustin, CA 92780
Phone (714) 838-1255
14742 Plaza Dr
#101
Tustin, CA 92780
Phone (714) 838-1255
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Tustin, CA
- NPI 1629093687
-
- Chiropractor
- Tustin, CA
- NPI 1679598015
-
- Chiropractor
- Tustin, CA
- NPI 1609891688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1689691511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14742 PLAZA DR",
"address_2": "STE 101",
"city": "TUSTIN",
"state": "CA",
"postal_code": "92780",
"telephone_number": "714-838-1255",
"fax_number": "714-838-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14742 PLAZA DR",
"address_2": "STE 101",
"city": "TUSTIN",
"state": "CA",
"postal_code": "92780",
"telephone_number": "714-838-1255",
"fax_number": "714-838-5784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DA MOLTHEN JP EARNEST DOCTORS OF CHIROPRACTIC APC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "EARNST",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "714-838-1255",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 8967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ77122Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DA Molthen JP Earnest TW Tucker Doctors of Chiropractic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.