Individual provider Active NPI

Jeffrey James Molitor, MOLITOR TRANSPORT LL

  • Non-emergency Medical Transport (VAN)
  • Dorchester, WI
National Provider Identifier
1790410215
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
W178 Hickory Rd
Dorchester, WI 54425-9421
Phone
(715) 965-7398
NPI assigned
Jul 19, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

W178 Hickory Rd
Dorchester, WI 54425-9421

Mailing address

W178 Hickory Rd
Dorchester, WI 54425-9421
Phone (715) 965-7398

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1790410215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W178 HICKORY RD",
            "city": "DORCHESTER",
            "state": "WI",
            "postal_code": "544259421",
            "telephone_number": "715-965-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W178 HICKORY RD",
            "city": "DORCHESTER",
            "state": "WI",
            "postal_code": "544259421",
            "telephone_number": "715-965-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLITOR",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "credential": "MOLITOR TRANSPORT LL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.