Organization Active NPI

Maloof Chiropractic Clinic Inc.

  • Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1770792186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
006838 Issued in GA
Legal business name
MALOOF CHIROPRACTIC CLINIC INC.
Practice address
1235 Pleasant Hill Rd
Lawrenceville, GA 30044-3003
Phone
(770) 923-1111
Fax
(770) 923-0117
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marion J Maloof, D.C., B.C.A.O.
Title
President
Phone
(770) 923-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 006838 GA Primary

Addresses

Primary practice location

1235 Pleasant Hill Rd
Lawrenceville, GA 30044-3003

Mailing address

1235 Pleasant Hill Rd
Lawrenceville, GA 30044-3003
Phone (770) 923-1111

Other identifiers 2

IdentifierTypeStateIssuer
1205914207OtherGANPI NUMBER
GRP5117OtherGAMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770792186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PLEASANT HILL RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443003",
            "telephone_number": "770-923-1111",
            "fax_number": "770-923-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PLEASANT HILL RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443003",
            "telephone_number": "770-923-1111",
            "fax_number": "770-923-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALOOF CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-923-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., B.C.A.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "006838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1205914207",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP5117",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.