Individual provider Active NPI

Malka Carlucci, D.C.

  • Chiropractor
  • Cottonwood Heights, UT
National Provider Identifier
1457522047
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5259195-1202 Issued in UT
Practice address
7109 Highland Dr
Suite-203
Cottonwood Heights, UT 84121-3750
Phone
(801) 943-0932
NPI assigned
Mar 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5259195-1202 UT Primary

Addresses

Primary practice location

7109 Highland Dr
Suite-203
Cottonwood Heights, UT 84121-3750

Mailing address

7109 Highland Dr
Suite-203
Cottonwood Heights, UT 84121-3750
Phone (801) 943-0932

Other names 1

  • Malka Ben-Shah Former name

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": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1457522047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 HIGHLAND DR",
            "address_2": "SUITE-203",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213750",
            "telephone_number": "801-943-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 HIGHLAND DR",
            "address_2": "SUITE-203",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213750",
            "telephone_number": "801-943-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLUCCI",
        "first_name": "MALKA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5259195-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALKA",
            "last_name": "BEN-SHAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.