Walton Jude Mallerich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC5931 Issued in TX

Practice address

10536 Montwood Dr Ste a
El Paso, TX 79935-2707

Phone

(915) 203-5744

Fax

(915) 857-5653

NPI assigned

Aug 13, 2006

Last updated

Sep 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neyma Villarreal-Rodriguez

  dba Rodriguez Chiropractic & Acupuncture

  • Chiropractor
  • El Paso, TX
  • NPI 1568654838
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1033121504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 BILL OGDEN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365723",
            "telephone_number": "915-857-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10536 MONTWOOD DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352707",
            "telephone_number": "915-203-5744",
            "fax_number": "915-857-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLERICH",
        "first_name": "WALTON",
        "middle_name": "JUDE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE #",
            "identifier": "1207",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE #",
            "identifier": "DC5931",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farzad Malekzadeh, M.D.
• Anisha Malhotra, M.D.
• Simran Malhotra, DO
• Martina Mali Kehl, MD
• Waleed Suleman Malik
• Paul Wilfred L. Mallett, MD
• Veronica Ann Malone, FNP
• Malou Home Health Inc (Dignity Home Health)
• Faizal Mamani, CAA
• Anthony Mamone, PA-C

• Chiropractor in El Paso, TX
• Providers in El Paso, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.