Active NPI
Dennis Patrick Molloy, D.C.
- Chiropractor
- Vernon Hills, IL
National Provider Identifier
1952306078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-005330
- Practice address
- 201 US Highway 45
Ste a
Vernon Hills, IL 60061-2300 - Phone
- (847) 367-7070
- Fax
- (847) 367-7090
- NPI assigned
- Jun 15, 2005
- Reactivated
- Mar 24, 2006
- Last updated
- Sep 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-005330 | IL | Primary |
Addresses
Primary practice location
201 US Highway 45
Ste a
Vernon Hills, IL 60061-2300
Mailing address
201 US Highway 45
Ste a
Vernon Hills, IL 60061-2300
Phone (847) 367-7070
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-005330 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1952306078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 US HIGHWAY 45",
"address_2": "STE A",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600612300",
"telephone_number": "847-367-7070",
"fax_number": "847-367-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 US HIGHWAY 45",
"address_2": "STE A",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600612300",
"telephone_number": "847-367-7070",
"fax_number": "847-367-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLOY",
"first_name": "DENNIS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2012-09-07",
"deactivation_date": "2006-03-18",
"reactivation_date": "2006-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-005330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.