Individual provider Active NPI

Indira Malpica, B.S., D.C.

  • Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1619423522
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12067 Issued in FL
Practice address
11360 Legacy Ave Unit 110
Palm Beach Gardens, FL 33410-3663
Phone
(561) 566-0447
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0615 PR
Chiropractor 111N00000X 12067 FL Primary

Addresses

Primary practice location

11360 Legacy Ave Unit 110
Palm Beach Gardens, FL 33410-3663

Mailing address

11360 Legacy Ave Unit 110
Palm Beach Gardens, FL 33410-3663
Phone (561) 566-0447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915000114 FL Practitioner - Chiropractic 9335524487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
12067FLMDChiropractor
0615PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro Malpica LLC Chiropractor CurrentSince Aug 29, 2022 Accepting new patients
Carlos Selles Hernandez Centro Quriropractico del Parque Chiropractor Past Accepting new patients
Centro Quiropractico del Parque CSP Chiropractor PastSince Feb 1, 2025 Accepting new patients

Locations

11360 Legacy Ave
Unit 110
Palm Beach Gardens, FL 33410
Phone (561) 247-5380

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1619423522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 LEGACY AVE UNIT 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103663",
            "telephone_number": "561-566-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 LEGACY AVE UNIT 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103663",
            "telephone_number": "561-566-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALPICA",
        "first_name": "INDIRA",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "0615",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.