Jennifer Maltby, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1759 Issued in ID

Practice address

1299 E Iron Eagle Dr
Ste 130
Eagle, ID 83616-6869

Phone

(208) 939-6100

Fax

(208) 425-6585

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1770980302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 E IRON EAGLE DR",
            "address_2": "STE 130",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166869",
            "telephone_number": "208-939-6100",
            "fax_number": "208-425-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 E IRON EAGLE DR",
            "address_2": "STE 130",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166869",
            "telephone_number": "208-939-6100",
            "fax_number": "208-425-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTBY",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8435",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mahlberg-Grant, APRN
• Melissa Major, NP-C
• Mallory Murphy
• Nancy Mallory, MD
• Kirsten Malmendier, LICENSED ACUPUNCTURI
• John Knox Maltby II, D.C.
• Melanie Maltese, FNP-C
• Manity Inc
• Vera Pauline Mansfield, CST, SA-C, CSFA
• Maraca Learning Inc

• Chiropractor in Eagle, ID
• Providers in Eagle, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.