DAVID PERRY MOLENCUPP (NPI# 1942231147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942231147 |
| Entity Type | Individual |
| Full Name | DAVID PERRY MOLENCUPP |
| Credential | D.C. |
| Practice Address |
4780 Sonoma Hwy Santa Rosa CA 95409-4237 |
| Mailing Address |
15550 Rockfield Blvd B220 Irvine CA 92618-2720 |
| Practice Telephone | 7074846021 |
| Practice Fax Number | 7075394528 |
| Mailing Telephone | 9495989999 |
| Mailing Fax Number | 9495989990 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 30082 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTAN | DC0300820 | 01 |
| CA | CHIROPRACTIC LICENSE | DC30082 | 01 |
| CA | BLUE SHIELD | DC0300820 | 01 |
| Street Address |
4780 SONOMA HWY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699136408 | Ridgway Chiropractic Inc | Chiropractor | 1105 N Dutton Ave Ste D, Santa Rosa, CA 95401-4683 | 2016-03-08 |
| 1154567659 | Lucas C Mccully | Chiropractor | 4655 Hoen Ave Ste 8, Santa Rosa, CA 95405-7830 | 2009-01-05 |
| 1740455492 | Marjan Kaveh | Chiropractor | 95 Montgomery Dr Ste 202, Santa Rosa, CA 95404-3202 | 2008-04-24 |
| 1952576753 | Jasmine Jackson | Chiropractor | 1105 N Dutton Ave, Suite D, Santa Rosa, CA 95401-4682 | 2008-04-23 |
| 1205008737 | Helen Mary Thomas | Chiropractor | 2200 County Center Dr Ste B, Santa Rosa, CA 95403 | 2008-03-25 |
| 1548459324 | Donald James Wright | Chiropractor | 349 College Ave, Santa Rosa, CA 95401-5117 | 2007-10-17 |
| 1720276645 | Thomas Collins | Chiropractor | 1212 Farmers Ln Ste 2, Santa Rosa, CA 95405-6747 | 2007-10-04 |
| 1588858427 | David Edqard Miller | Chiropractor | 1725 King St, Santa Rosa, CA 95404-2916 | 2007-09-04 |
| 1982897377 | Michael Gene Ridgeway | Chiropractor | 777 Farmers Ln, Santa Rosa, CA 95405-6701 | 2007-08-20 |
| 1912104795 | Craig S Hartman | Chiropractor | 3861 Montgomery Dr, Santa Rosa, CA 95405-5244 | 2007-06-27 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
Please comment or provide details below to improve the information on DAVID PERRY MOLENCUPP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.