Individual provider Active NPI

William Gerald Molesky, DC, FIAMA

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1720165392
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9192 Issued in FL
Practice address
15300 Jog Rd
Suite 107,108
Delray Beach, FL 33446-2162
Phone
(561) 742-5959
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9192 FL Primary

Addresses

Primary practice location

15300 Jog Rd
Suite 107,108
Delray Beach, FL 33446-2162

Mailing address

300 Via Lugano Cir
# 209
Boynton Beach, FL 33436-7161
Phone (954) 547-5877

Other identifiers 2

IdentifierTypeStateIssuer
62774OtherFLBC&BS PROVIDER
6556693OtherFLCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130207000374 FL Practitioner - Chiropractic 7113171737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Palm Orthospine InstituteGroup PAC ID 4587765433, 4 clinicians

Practice addresses (Care Compare)

15300 S Jog Rd
Delray Beach, FL 33446-2162
Phone (561) 742-5959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Palm Orthospine Institute CurrentSince Dec 1, 2012 Accepting new patients
South Palm Orthospine Institute CurrentSince Dec 1, 2012 Accepting new patients
Shadowood Chiropractic Center,Inc. Chiropractor CurrentSince Jul 1, 2023 Accepting new patients

Locations

9799 Glades Rd
Boca Raton, FL 33434
Phone (561) 488-4000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1720165392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VIA LUGANO CIR",
            "address_2": "# 209",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367161",
            "telephone_number": "954-547-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 JOG RD",
            "address_2": "SUITE 107,108",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462162",
            "telephone_number": "561-742-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLESKY",
        "first_name": "WILLIAM",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DC, FIAMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS PROVIDER",
            "identifier": "62774",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6556693",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.