Active NPI
Kevin Darrell Malone, DC
- Chiropractor
- Smithville, TN
National Provider Identifier
1336330125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2143
- Practice address
- 502 W Main St
Smithville, TN 37166-1118 - Phone
- (615) 215-2273
- Fax
- (615) 215-2276
- NPI assigned
- Aug 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2143 | TN | Primary |
Addresses
Primary practice location
502 W Main St
Smithville, TN 37166-1118
Mailing address
502 W Main St
Smithville, TN 37166-1118
Phone (615) 215-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071214000629 | TN | Practitioner - Chiropractic | 1951491828 | Practice locations: Smithville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
502 W Main St
Smithville, TN 37166-1118
Phone (615) 215-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1336330125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 W MAIN ST",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371661118",
"telephone_number": "615-215-2273",
"fax_number": "615-215-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W MAIN ST",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371661118",
"telephone_number": "615-215-2273",
"fax_number": "615-215-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "KEVIN",
"middle_name": "DARRELL",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.