Individual provider Active NPI

Earl W Malone, D.C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1104868322
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04255 Issued in KS
Practice address
211 S Tyler Rd
Wichita, KS 67209-1433
Phone
(316) 722-2222
Fax
(316) 260-1888
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04255 KS Primary

Addresses

Primary practice location

211 S Tyler Rd
Wichita, KS 67209-1433

Mailing address

455 S Ridge Rd
Wichita, KS 67209-2231
Phone (316) 722-2222

Other practice location 1

455 S Ridge Rd
Wichita, KS 67209-2231
Phone (316) 722-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000743 KS Practitioner - Chiropractic 1850348616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 S Tyler Rd
Wichita, KS 67209-1433
Phone (316) 722-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-04255KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boneworkz, LLC Chiropractor CurrentSince Dec 3, 2018 Accepting new patients

Locations

211 S Tyler Rd
Wichita, KS 67209
Phone (316) 722-2222

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1104868322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S RIDGE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092231",
            "telephone_number": "316-722-2222",
            "fax_number": "316-729-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091433",
            "telephone_number": "316-722-2222",
            "fax_number": "316-260-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 S Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672092231",
            "country_code": "US",
            "telephone_number": "316-722-2222",
            "fax_number": "316-729-4416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "EARL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.