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Deactivated NPI 1073609087 Deactivated / Inactive NPI Male Practitioner

Dr. Glenn W Moldenhauer , DC

Chiropractor • Nampa, ID

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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. Glenn Moldenhauer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2006
NPI Deactivation Date February 28, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Moldenhauer, DC was a registered Chiropractor practicing in Nampa, ID. Throughout an active medical career spanning 18 years, Dr. Moldenhauer provided care at the practice location at 228 HOLLY ST until profile deactivation on 2024-02-28.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

228 Holly St

Nampa, ID 836865104

Telephone 2084675759
Fax 2084674510
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Nampa, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
37 Specialists

Practicing in Nampa, ID (740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
16.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
129 20 $32.00 $26.60

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License ID CHI296

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.

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 February 28, 2024

Record deactivated on February 28, 2024

NPI Profile Active August 28, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 28, 2007

Registered at 228 HOLLY ST, NAMPA, ID 836865104 (Tel: 2084675759)

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Updated Business Mailing Address August 28, 2007

Registered at 228 HOLLY ST, NAMPA, ID 836865104 (Tel: 2084675759)

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Provider Name / Credentials Updated August 28, 2007

Recorded as GLENN MOLDENHAUER, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2007

Chiropractor (License #CHI296 in ID)

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Initial NPI Registration & Enumeration October 05, 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: 1073609087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: August 28, 2007
Deactivation Date: February 28, 2024

Mailing Address

228 Holly St

Nampa, ID 836865104

Phone: 2084675759

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.