Organization Active NPI

Lori Malochleb DC PC

  • Chiropractor
  • Frankenmuth, MI
National Provider Identifier
1730111303
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
LM006154 Issued in MI
Legal business name
LORI MALOCHLEB DC PC
Practice address
143 W Genesee St
Frankenmuth, MI 48734-1304
Phone
(989) 652-2577
Fax
(989) 652-4776
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Dr. Lori R Malochleb, DC
Title
Owner
Phone
(989) 652-2577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X LM006154 MI Primary

Addresses

Primary practice location

143 W Genesee St
Frankenmuth, MI 48734-1304

Mailing address

143 W Genesee St
Frankenmuth, MI 48734-1304
Phone (989) 652-2577

Other identifiers 3

IdentifierTypeStateIssuer
4633192MedicaidMI
01003171OtherMIHEALTH PLUS
0G311710OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

215 E Jefferson St
Ste 3
Frankenmuth, MI 48734
Phone (489) 652-2577

143 W Genesee St
Frankenmuth, MI 48734
Phone (989) 652-2577

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1730111303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W GENESEE ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341304",
            "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": "143 W GENESEE ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341304",
            "telephone_number": "989-652-2577",
            "fax_number": "989-652-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI MALOCHLEB DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "MALOCHLEB",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-652-2577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "LM006154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4633192",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01003171",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0G311710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "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 Oct 1, 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.