Active NPI
Alek Dane Molenaar
- Athletic Trainer
- Franklin, IN
National Provider Identifier
1780162719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 101 Branigin Blvd
Franklin, IN 46131-2623 - Phone
- (800) 852-0232
- NPI assigned
- Aug 1, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IN | ||
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
101 Branigin Blvd
Franklin, IN 46131-2623
Mailing address
183 S Home Ave Apt 1/2
Franklin, IN 46131-2401
Phone (616) 893-2878
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1780162719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 S HOME AVE APT 1/2",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312401",
"telephone_number": "616-893-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BRANIGIN BLVD",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312623",
"telephone_number": "800-852-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLENAAR",
"first_name": "ALEK",
"middle_name": "DANE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.