Active NPI
Lance Mollenhauer, D.C.
- Chiropractor
- Florence, AZ
National Provider Identifier
1912206590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8189
- Practice address
- 700 N. Pinal Parkway
Florence, AZ 85132 - Phone
- (520) 868-3605
- Fax
- (480) 813-2987
- NPI assigned
- Mar 21, 2011
- Last updated
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8189 | AZ | Primary |
Addresses
Primary practice location
700 N. Pinal Parkway
Florence, AZ 85132
Mailing address
PO Box 2298
Florence, AZ 85132-3043
Phone (520) 868-3605
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z150398 | Other | PTAN | |
| Z150399 | Other | AZ | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120215000865 | AZ | Practitioner - Chiropractic | 1658539952 | Practice locations: Florence, AZ; Mesa, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- University of Wisconsin School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4111 E Valley Auto Dr
Suite 201
Mesa, AZ 85206-4609
Phone (602) 696-9071
700 N Pinal Pkwy
Florence, AZ 85132
Phone (520) 868-3605
PO Box
Suite 2298
Florence, AZ 85132
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clouse Chiropractic Clinic LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Mesa, AZ
- NPI 1942481379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1912206590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2298",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "851323043",
"telephone_number": "520-868-3605",
"fax_number": "480-813-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N. PINAL PARKWAY",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "85132",
"telephone_number": "520-868-3605",
"fax_number": "480-813-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLENHAUER",
"first_name": "LANCE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-21",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z150398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z150399",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AZ
- Arlene Ethelyn McKamey, FNP-C
- Joshua McMillen, NP
- Kristin Menkveld
- Merrill Ranch Family Dental, PLLC
- Michele Mitchell, LPC, CSAC, LASAC
- Christa Melody Moore, PMHNP
- Monica Morris
- Mountain Vista Medical Center, LP (Florence Hospital, a Campus of Mountain Vista Medical Center)
- Mungoh BC (MBC) LLC (Mungoh BC (MBC) LLC Dha)
- Jeanette Marie Murphy, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.