Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1023189339 Deactivated / Inactive NPI Male Practitioner

Dr. David Michael Mamolen , DC

Chiropractor • Boulder, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Mamolen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2006
NPI Deactivation Date September 16, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. David Mamolen, DC was a registered Chiropractor practicing in Boulder, CO. Throughout an active medical career spanning 14 years, Dr. Mamolen provided care at the practice location at 724 PEARL ST until profile deactivation on 2020-09-16.

Practice Location & Contact Primary Location

Practice Address

724 Pearl St

Boulder, CO 803025006

Telephone 3034493103
Fax 3034021095
Associated Practice Facility / Clinic
🏢 Swan Lake Chiropractic Health Facility NPI 1740351055

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.2 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
120 Specialists

Practicing in Boulder, CO (2434 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CO 1407

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1154916021

Doctor of Chiropractic

NPI 1639611346

Doctor of Chiropractic

NPI 1659442861

Doctor of Chiropractic

NPI 1700595055

Doctor of Chiropractic

NPI 1811068125

Doctor of Chiropractic

NPI 1902221013

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 16, 2020

Record deactivated on September 16, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 724 PEARL ST, BOULDER, CO 803025006 (Tel: 3034493103)

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Updated Business Mailing Address July 08, 2007

Registered at 8756 STREAMCREST DR, BOULDER, CO 803029367 (Tel: 3034434717)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID MAMOLEN, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #1407 in CO)

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Initial NPI Registration & Enumeration November 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023189339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2006
Last Update: July 08, 2007
Deactivation Date: September 16, 2020

Mailing Address

8756 Streamcrest Dr

Boulder, CO 803029367

Phone: 3034434717

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.