Noah A. Malavolti, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555932 Issued in VA

Practice address

1135 W Lee Hwy
Wytheville, VA 24382-1525

Phone

(276) 227-0414

Fax

(276) 227-0416

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ridge Chiropractic Clinic P.C.Group PAC ID 5890880678, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Blue Ridge Chiropractic Clinic P.C.

  • Chiropractor
  • Wytheville, VA
  • NPI 1689709479
  Medicare reassignment Care Compare group NPD Authorized official
• Tuck Chiropractic Corporation

  dba Tuck Chiropractic Clinic

  • Chiropractor
  • Blacksburg, VA
  • NPI 1003987769
  NPD (past)
• Tuck Clinic of Chiropractic

  • Chiropractor
  • Pulaski, VA
  • NPI 1447317870
  NPD (past)
• Malone Family Chiropractic Clinic P.C.

  • Chiropractor
  • Dubuque, IA
  • NPI 1023218849
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598858193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 PIPERS GAP RD.",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "24333",
            "telephone_number": "276-238-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W LEE HWY",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821525",
            "telephone_number": "276-227-0414",
            "fax_number": "276-227-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVOLTI",
        "first_name": "NOAH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "466815",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Alyson Lundy, LCSW-P
• Martha Luper, LPC
• Lutheran Family Service of Virginia, Inc.
• Christine Elizabeth Macquarrie, LBA
• Debra Shortridge Magee, FNP
• Goutham Mandadi, MD
• Mary Beth Marinus, CFNP
• Mark T. Larsen, LPC LLC
• Tracy Lee Mathena, MD
• Elizabeth B Matthews, LICENSED PHYSICAL TH

• Chiropractor in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.