Active NPI
Bonnie Malone, DC
- Orthopedic Chiropractor
- Sisters, OR
National Provider Identifier
1730264672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 1681
- Practice address
- 16190 Highway 126
Sisters, OR 97759 - Phone
- (541) 549-7141
- Fax
- (541) 549-7142
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 1681 | OR | |
| Orthopedic Chiropractor | 111NX0800X | 1681 | OR | Primary |
Addresses
Primary practice location
16190 Highway 126
Sisters, OR 97759
Mailing address
PO Box 718
Sisters, OR 97759-0718
Phone (541) 549-7141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1681 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1730264672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 718",
"city": "SISTERS",
"state": "OR",
"postal_code": "977590718",
"telephone_number": "541-549-7141",
"fax_number": "541-549-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16190 HIGHWAY 126",
"city": "SISTERS",
"state": "OR",
"postal_code": "97759",
"telephone_number": "541-549-7141",
"fax_number": "541-549-7142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "BONNIE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "OR",
"license": "1681",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "OR",
"license": "1681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sisters, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.