Individual provider Active NPI

Timothy Malton, D.C.

  • Chiropractor
  • Portland, CT
National Provider Identifier
1659578342
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001729 Issued in CT
Practice address
234 Main St
Portland, CT 06480-1861
Phone
(860) 342-7277
NPI assigned
Jun 27, 2007
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4707 CO
Chiropractor 111N00000X 001729 CT Primary

Addresses

Primary practice location

234 Main St
Portland, CT 06480-1861

Mailing address

705 Boston Post Rd
Suite C8
Guilford, CT 06437-2732

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090105000176 CT Practitioner - Chiropractic 8325071541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

234 Main St
Portland, CT 06480-1861
Phone (860) 342-7277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1729CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Family Chiropractic of Portland, LLC Chiropractor Current Accepting new patients
Functional Health Center LLC Past Accepting new patients
Malton Ventures, LLC Chiropractor Past Accepting new patients
Life Chiropractic LLC Past Accepting new patients

Locations

234 Main St
Portland, CT 06480
Phone (860) 342-7277

Organizations & group practices 4

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1659578342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD",
            "address_2": "SUITE C8",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801861",
            "telephone_number": "860-342-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTON",
        "first_name": "TIMOTHY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4707",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.