Organization Active NPI

Malone Family Chiropractic Clinic P.C.

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1023218849
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06173 Issued in IA
Legal business name
MALONE FAMILY CHIROPRACTIC CLINIC P.C.
Practice address
950 Cedar Cross Rd
Dubuque, IA 52003-7743
Phone
(563) 585-0139
Fax
(563) 585-0140
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald James Malone, DCNPI 1295713394
Title
President
Phone
(563) 585-0139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A06173 IA Primary

Addresses

Primary practice location

950 Cedar Cross Rd
Dubuque, IA 52003-7743

Mailing address

950 Cedar Cross Rd
Dubuque, IA 52003-7743
Phone (563) 585-0139

Other identifiers 1

IdentifierTypeStateIssuer
0181537MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823000750 IA Part B Supplier - Clinic/Group Practice 6002880358 Receives reassigned benefits from 1 practitioner
Practice locations: Dubuque, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0991395Malone Family Chiropractic Clinic950 Cedar Cross Road, Dubuque, IA 52003Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory

Locations

950 Cedar Cross Rd
Dubuque, IA 52003
Phone (563) 585-0139

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1023218849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CEDAR CROSS RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037743",
            "telephone_number": "563-585-0139",
            "fax_number": "563-585-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CEDAR CROSS RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037743",
            "telephone_number": "563-585-0139",
            "fax_number": "563-585-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALONE FAMILY CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-585-0139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181537",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.

Verify at the official NPI Registry.