Organization Active NPI

Malta Chiropractic & Nutrition, Inc.

  • Nutrition Chiropractor
  • Denver, IA
National Provider Identifier
1265865794
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
007412 Issued in IA
Legal business name
MALTA CHIROPRACTIC & NUTRITION, INC.
Practice address
401 S State St
Suite 1
Denver, IA 50622-7715
Phone
(512) 534-5740
Fax
(319) 423-6155
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Dr. Amanda L Malta, D.C., M.S.
Title
President
Phone
(512) 534-5740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 007412 IA Primary

Addresses

Primary practice location

401 S State St
Suite 1
Denver, IA 50622-7715

Mailing address

401 S State St
Suite 1, PO Box 424
Denver, IA 50622-7715

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1265865794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S STATE ST",
            "address_2": "SUITE 1, PO BOX 424",
            "city": "DENVER",
            "state": "IA",
            "postal_code": "506227715",
            "fax_number": "319-423-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S STATE ST",
            "address_2": "SUITE 1",
            "city": "DENVER",
            "state": "IA",
            "postal_code": "506227715",
            "telephone_number": "512-534-5740",
            "fax_number": "319-423-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALTA CHIROPRACTIC & NUTRITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "MALTA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-534-5740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IA",
            "license": "007412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.