Individual provider Active NPI

Trenton B Maly, DC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1134291099
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1350 Issued in NE
Practice address
4645 Normal Blvd
Ste. 200
Lincoln, NE 68506-5588
Phone
(402) 483-6633
Fax
(402) 483-6919
NPI assigned
Nov 15, 2006
Last updated
Sep 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1350 NE Primary

Addresses

Primary practice location

4645 Normal Blvd
Ste. 200
Lincoln, NE 68506-5588

Mailing address

4645 Normal Blvd
Ste. 200
Lincoln, NE 68506-5588
Phone (402) 483-6633

Other identifiers 1

IdentifierTypeStateIssuer
10025679500MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040604000708 NE Practitioner - Chiropractic 5193707909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4645 Normal Blvd
Suite 200
Lincoln, NE 68506-5823
Phone (402) 483-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1350NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton B Maly DC PC Chiropractor CurrentSince Mar 1, 2004 Accepting new patients

Locations

4535 Normal Blvd
Ste 101
Lincoln, NE 68506
Phone (402) 466-8115

4645 Normal Blvd
Ste 200
Lincoln, NE 68506
Phone (402) 483-6633

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1134291099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 NORMAL BLVD",
            "address_2": "STE. 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065588",
            "telephone_number": "402-483-6633",
            "fax_number": "402-483-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NORMAL BLVD",
            "address_2": "STE. 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065588",
            "telephone_number": "402-483-6633",
            "fax_number": "402-483-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALY",
        "first_name": "TRENTON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025679500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.