Ann O. Malotky, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

032442 Issued in CA

Practice address

1800 Buenaventura Blvd.
Redding, CA 96001-0184

Phone

(530) 243-8806

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ann Malotky, DDS., Inc.

  • Dentist
  • Redding, CA
  • NPI 1629467113
  Authorized official Same address or phone
• Craig E. Fowers,DDS,Apc

  dba Craig E. Fowers, D.D.S.

  • Dentist
  • Redding, CA
  • NPI 1316159973
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1093858813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUENAVENTURA BLVD.",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010184",
            "telephone_number": "530-243-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUENAVENTURA BLVD.",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010184",
            "telephone_number": "530-243-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOTKY",
        "first_name": "ANN",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "032442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riaz A Malik, M.D.
• Joe Malinovsky
• Daniel S Mallamo, PA
• Hermes Bustos Mallari, D.D.S.
• Heather Mallory
• Maximilian Von Malotky, M.D.
• Richard Arden Malotky, MD
• Mahesh Mamilla, M.B.B.S
• Mana Mobility Physical Therapy
• Douglas Kevin Mandel, MD

• Dentist in Redding, CA
• Providers in Redding, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.