Active NPI
Dennis P. Malik, D.C.
- Chiropractor
- Davenport, IA
National Provider Identifier
1376531947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 05018
- Practice address
- 1000 Brady St
Davenport, IA 52803-5214 - Phone
- (563) 884-5801
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 05018 | IA | Primary |
Addresses
Primary practice location
1000 Brady St
Davenport, IA 52803-5214
Mailing address
1000 Brady St
Davenport, IA 52803-5214
Phone (563) 884-5801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00037 | Other | IA | MEDICARE |
| 00037 | Other | IA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1376531947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BRADY ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035214",
"telephone_number": "563-884-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BRADY ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035214",
"telephone_number": "563-884-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "DENNIS",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "05018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00037",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00037",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.