Individual provider Active NPI

Michael W Maley, DC

  • Sports Physician Chiropractor
  • Canton, OH
National Provider Identifier
1760557169
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1232 Issued in OH
Practice address
6310 Market Ave N
Canton, OH 44721-3127
Phone
(330) 768-7737
Fax
(330) 494-8195
NPI assigned
Nov 21, 2006
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1232 OH Primary
Sports Physician Chiropractor 111NS0005X 1232 IL

Addresses

Primary practice location

6310 Market Ave N
Canton, OH 44721-3127

Mailing address

6310 Market Ave N
Canton, OH 44721-3127
Phone (330) 768-7737

Other practice location 1

2966 Harrisburg Rd NE
Canton, OH 44705-2562
Phone (330) 452-3335

Other identifiers 1

IdentifierTypeStateIssuer
0639081MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120204000007 OH Practitioner - Chiropractic 0042477952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6310 Market Ave N
Canton, OH 44721-3127
Phone (330) 768-7737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1232ILMDSports Physician Chiropractor
1232OHMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Therapy Associates, LLC CurrentSince Feb 18, 2024 Accepting new patients
Jocdoc Inc CurrentSince Jan 4, 1997 Accepting new patients
Riley Chiropractic Inc Past Accepting new patients

Locations

2966 Harrisburg Rd NE
Canton, OH 44705
Phone (330) 452-3335

6310 Market Ave N
Canton, OH 44721
Phone (330) 494-6655

Organizations & group practices 3

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1760557169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213127",
            "telephone_number": "330-768-7737",
            "fax_number": "330-452-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213127",
            "telephone_number": "330-768-7737",
            "fax_number": "330-494-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2966 HARRISBURG RD NE",
            "address_purpose": "LOCATION",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447052562",
            "country_code": "US",
            "telephone_number": "330-452-3335",
            "fax_number": "330-452-9636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEY",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "1232",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "1232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0639081",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.