Dorman Malone Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

32354 Issued in CA

Practice address

6919 Paradise Valley Rd Ste 1a
San Diego, CA 92139-1225

Phone

(619) 479-5700

Fax

(619) 479-2373

NPI assigned

Feb 6, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1720227267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 PARADISE VALLEY RD",
            "address_2": "SUITE 1A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92139",
            "telephone_number": "619-479-5700",
            "fax_number": "619-479-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 PARADISE VALLEY RD STE 1A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921391225",
            "telephone_number": "619-479-5700",
            "fax_number": "619-479-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "DORMAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donte Johnathan Malloy, MS
• Mikeicha Malloy, RN
• Florence Malmgren, MFT
• Nicolas Malo, PET
• Michele Kavon Malone - Talley
• Jessica Malone, RD
• John Joseph Malone, DPM
• Kelli Anne Malone, PA-C
• Timothy J Malone
• Anita L Maloney, MSCCC SLP, RYT

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.