Individual provider Active NPI

Payton M Malochleb, DC

  • Chiropractor
  • Frankenmuth, MI
National Provider Identifier
1659837904
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
230101685 Issued in MI
Practice address
526 W Genesee St Ste 2
Frankenmuth, MI 48734-1357
Phone
(989) 652-2577
Fax
(989) 652-4776
NPI assigned
Feb 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 230101685 MI Primary

Addresses

Primary practice location

526 W Genesee St Ste 2
Frankenmuth, MI 48734-1357

Mailing address

526 W Genesee St Ste 4
Frankenmuth, MI 48734-1357
Phone (989) 652-2577

Other identifiers 1

IdentifierTypeStateIssuer
1730111303OtherMICHIROPRACTOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drlori2@malochleb.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201218000221 MI Practitioner - Chiropractic 4789096603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mi Chiro CorporationGroup PAC ID 0840681896, 3 clinicians

Practice addresses (Care Compare)

526 W Genesee St
Suite 2
Frankenmuth, MI 48734-1357
Phone (989) 652-2577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230101685MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Chiro Corporation Chiropractor CurrentSince Dec 28, 2021 Accepting new patients

Locations

526 W Genesee St
Ste 2
Frankenmuth, MI 48734
Phone (989) 652-2557

526 W Genesee St
Ste 4
Frankenmuth, MI 48734
Phone (989) 652-2577

Organizations & group practices 1

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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1659837904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W GENESEE ST STE 4",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341357",
            "telephone_number": "989-652-2577",
            "fax_number": "989-652-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W GENESEE ST STE 2",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341357",
            "telephone_number": "989-652-2577",
            "fax_number": "989-652-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOCHLEB",
        "first_name": "PAYTON",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "230101685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1730111303",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drlori2@malochleb.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "526 W. Genesee Street",
            "address_2": "Suite 2",
            "city": "Frankenmuth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frankenmuth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.