Individual provider Active NPI

Seth Loren Moliver, D.C.

  • Chiropractor
  • Davidson, NC
National Provider Identifier
1881782159
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3526 Issued in NC
Practice address
624 Jetton St
Suite 260
Davidson, NC 28036-9315
Phone
(704) 896-3435
Fax
(704) 896-3424
NPI assigned
Oct 11, 2006
Last updated
Aug 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0009818-1 NY
Chiropractor 111N00000X 3526 NC Primary

Addresses

Primary practice location

624 Jetton St
Suite 260
Davidson, NC 28036-9315

Mailing address

624 Jetton St
Suite 260
Davidson, NC 28036-9315
Phone (704) 896-3435

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070830000324 NC Practitioner - Chiropractic 0941300511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

560 Davidson Gateway Dr
Suite 201
Davidson, NC 28036-7042
Phone (704) 896-3435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009818NYMDMental Health Counselor
3526NCMDChiropractor
X0009818-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Moliver Chiropractic, PLLC Chiropractor CurrentSince Jul 15, 2008 Accepting new patients
Binder Chiropractic, P.a. Chiropractor PastSince Sep 1, 1990 Accepting new patients

Locations

560 Davidson Gateway Dr
Ste 201
Davidson, NC 28036
Phone (704) 896-3435

624 Jetton St
Ste 260
Davidson, NC 28036
Phone (704) 896-3435

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1881782159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 JETTON ST",
            "address_2": "SUITE 260",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369315",
            "telephone_number": "704-896-3435",
            "fax_number": "704-896-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 JETTON ST",
            "address_2": "SUITE 260",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369315",
            "telephone_number": "704-896-3435",
            "fax_number": "704-896-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLIVER",
        "first_name": "SETH",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0009818-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.