Organization Active NPI

Malter Chiropractic Center, P.C.

  • Chiropractor
  • Utica, MI
National Provider Identifier
1063570661
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005931 Issued in MI
Legal business name
MALTER CHIROPRACTIC CENTER, P.C.
Practice address
45280 Cass Ave
Utica, MI 48317-5600
Phone
(586) 254-3303
Fax
(586) 254-1121
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Dr. Timothy M Malter, D.C.
Title
Owner
Phone
(586) 254-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005931 MI Primary

Addresses

Primary practice location

45280 Cass Ave
Utica, MI 48317-5600

Mailing address

45280 Cass Ave
Utica, MI 48317-5600
Phone (586) 254-3303

Other identifiers 2

IdentifierTypeStateIssuer
95 0E024980OtherMIBCBS
95 0E052880OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

45280 Cass Ave
Utica, MI 48317
Phone (586) 254-3303

Practitioners & affiliated clinicians

Practitioners 2

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1063570661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45280 CASS AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175600",
            "telephone_number": "586-254-3303",
            "fax_number": "586-254-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45280 CASS AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175600",
            "telephone_number": "586-254-3303",
            "fax_number": "586-254-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALTER CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "MALTER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-254-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95 0E024980",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95 0E052880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.