Individual provider Active NPI

Kevin M. Maloney, D.C.

  • Chiropractor
  • Farmers Branch, TX
National Provider Identifier
1477615706
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9522 Issued in TX
Practice address
4220 Proton Rd Ste 110
Farmers Branch, TX 75244-3507
Phone
(214) 641-3640
Fax
(972) 239-4091
NPI assigned
Dec 14, 2006
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9522 TX Primary

Addresses

Primary practice location

4220 Proton Rd Ste 110
Farmers Branch, TX 75244-3507

Mailing address

4220 Proton Rd Ste 110
Farmers Branch, TX 75244-3507
Phone (214) 641-3640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000833 TX Practitioner - Chiropractic 1355367616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4220 Proton Rd
Suite 110
Farmers Branch, TX 75244-3507
Phone (214) 641-3640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9522TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Maloney Chiropractic PLLC Chiropractor CurrentSince Oct 17, 2014 Accepting new patients
First Choice Chiropractic Chiropractor Past Accepting new patients

Locations

4220 Proton Rd
Ste 110
Farmers Brnch, TX 75244
Phone (214) 641-3640

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1477615706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 PROTON RD STE 110",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443507",
            "telephone_number": "214-641-3640",
            "fax_number": "972-239-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 PROTON RD STE 110",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443507",
            "telephone_number": "214-641-3640",
            "fax_number": "972-239-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "KEVIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.

Verify at the official NPI Registry.