Nicholas Ariston Malles III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301401256 Issued in MI

Practice address

24725 W 12 Mile Rd Ste 260
Southfield, MI 48034-8310

Phone

(248) 353-2225

Fax

(248) 353-2239

NPI assigned

May 5, 2022

Last updated

May 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1164167987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24725 W 12 MILE RD STE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348310",
            "telephone_number": "248-353-2225",
            "fax_number": "248-353-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24725 W 12 MILE RD STE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348310",
            "telephone_number": "248-353-2225",
            "fax_number": "248-353-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLES",
        "first_name": "NICHOLAS",
        "middle_name": "ARISTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "2301401256",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Malia
• Ayesha Malik, LLMSW
• Susan Martha Malinowski, M.D.
• Lolita Maria Maliskey
• Venkata Malladi
• Corin Mallory
• Craig Mallory, PA-C
• Kaitlyn Hope Malo, LMSW
• Angela Dorothy Malone, NP-C
• Carla Malone

• Chiropractor in Southfield, MI
• Providers in Southfield, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.