Individual provider Active NPI

Paul Manaloto, D.C.

  • Chiropractor
  • Mesquite, TX
National Provider Identifier
1427299783
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10133 Issued in TX
Practice address
1645 N Town East Blvd
Ste 146
Mesquite, TX 75150-4146
Phone
(972) 270-0600
Fax
(972) 270-0051
NPI assigned
Mar 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009623 PA
Chiropractor 111N00000X 10133 TX Primary

Addresses

Primary practice location

1645 N Town East Blvd
Ste 146
Mesquite, TX 75150-4146

Mailing address

1645 N Town East Blvd
Ste 146
Mesquite, TX 75150-4158
Phone (972) 270-0600

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

State licenses

LicenseStateTypeSpecialty
DC009623PAMDChiropractor
10133TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1427299783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 N TOWN EAST BLVD",
            "address_2": "STE 146",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504158",
            "telephone_number": "972-270-0600",
            "fax_number": "972-270-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N TOWN EAST BLVD",
            "address_2": "STE 146",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504146",
            "telephone_number": "972-270-0600",
            "fax_number": "972-270-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALOTO",
        "first_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009623",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.