Maltese Chiropractic Life Center, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CHIR02313 Issued in GA

Legal business name

MALTESE CHIROPRACTIC LIFE CENTER, P.C.

Practice address

900 Indian Trail Lilburn Rd NW Ste 9
Lilburn, GA 30047-6869

Phone

(770) 381-0491

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John P. Maltese, D.C.NPI 1215061155

Title

Ceo

Phone

(770) 381-0491

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• John Maltese, DC

  • Chiropractor
  • Lilburn, GA
  • NPI 1215061155
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1770840472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 INDIAN TRAIL LILBURN RD NW STE 9",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476869",
            "telephone_number": "770-381-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INDIAN TRAIL LILBURN RD NW STE 9",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476869",
            "telephone_number": "770-381-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALTESE CHIROPRACTIC LIFE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "MALTESE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-381-0491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR02313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Isabella Macias
• Courtni Danielle Macon
• Charles D Magruder, MD MPH
• Rosetta Malayil
• Mary Maloof, PT
• John Maltese, DC
• Brian Manns, PHARMD
• Ramon Ulises Mares Rios, PMHNP-BC
• Margaret H. Lee LLC
• Maria C. Santana,LLC

• Clinic/Center in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.