Individual provider Active NPI

Jonathan C Maline, DC

  • Chiropractor
  • Manistique, MI
National Provider Identifier
1083872055
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010177 Issued in MI
Practice address
127 Arbutus Ave
Manistique, MI 49854-1453
Phone
(906) 341-6601
Fax
(906) 341-5134
NPI assigned
May 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1519 NE
Chiropractor 111N00000X 2301010177 MI Primary

Addresses

Primary practice location

127 Arbutus Ave
Manistique, MI 49854-1453

Mailing address

127 Arbutus Ave
Manistique, MI 49854-1453
Phone (906) 341-6601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140513002250 MI Practitioner - Chiropractic 2264589860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

127 Arbutus Ave
Manistique, MI 49854-1453
Phone (906) 341-6601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010177MIMDChiropractor
1519NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maline Family Chiropractic PLLC CurrentSince Mar 4, 2009 Accepting new patients

Locations

127 Arbutus Ave
Manistique, MI 49854
Phone (906) 254-5400

2949 N 204th St
Ste 108
Elkhorn, NE 68022
Phone (402) 991-8884

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1083872055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ARBUTUS AVE",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541453",
            "telephone_number": "906-341-6601",
            "fax_number": "906-341-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ARBUTUS AVE",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541453",
            "telephone_number": "906-341-6601",
            "fax_number": "906-341-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINE",
        "first_name": "JONATHAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1519",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistique, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.