Malley Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MALLEY CHIROPRACTIC PLLC

Practice address

937 Tahoe Blvd Ste 205
Incline Village, NV 89451-7412

Phone

(775) 298-2289

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Malley, DCNPI 1902429384

Title

Owner/Provider

Phone

(774) 272-2382

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Malley, DC

  • Chiropractor
  • Incline Village, NV
  • NPI 1902429384
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1023702834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 TAHOE BLVD STE 205",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894517412",
            "telephone_number": "775-298-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 TAHOE BLVD STE 205",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894517412",
            "telephone_number": "775-298-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLEY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "MALLEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "774-272-2382",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Tahoe Orthopaedic Institute
• Anastiscia Lang, RDN
• Alan Scott Levin, M.D.
• Chrystie Q Lowden, DC
• John W. Luther III, PHARM.D.
• Jonathan Malley, DC
• Christel Marshall, PA-C
• Edward Larry McCleary, MD
• Emily McGinty, PMHNP-BC
• Molly E Meyer, MA, CCC-SLP

• Chiropractor in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.