Maletta Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010295 Issued in MI

Legal business name

MALETTA CHIROPRACTIC PLLC

Practice address

2863 W Shore Dr Ste 114
Holland, MI 49424-9576

Phone

(616) 399-6624

NPI assigned

Feb 17, 2015

Organization subpart

No

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

Authorized official

Name

Phillip Maletta, DC

Title

Manager

Phone

(616) 399-6624

Specialties & licenses 2

Addresses

Other names 1

• ProActive Chiropractic Group Doing business as

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376934075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 W SHORE DR STE 114",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249576",
            "telephone_number": "616-399-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 W SHORE DR STE 114",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249576",
            "telephone_number": "616-399-6624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Burton St SE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495064670",
            "country_code": "US",
            "telephone_number": "616-828-6730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MALETTA CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MALETTA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "616-399-6624",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010295",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProActive Chiropractic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Marie Maher, LLP
• Brittany Angel Mailloux-Kross, DDS
• Lee Majeski, NP
• Jordyn Olivia Maka
• Jenna Maki, AT, ATC
• Phillip Maletta, DC
• Richard Albert Malmsten, PA
• Emily Lauren Malvar, AGNP, DNP
• Arben S Mandija, PT
• Erica L Mandrick, AUD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.