Individual provider Active NPI

Tron Malachowski, D.C.

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1801065339
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3332 Issued in SC
Practice address
607 W 5TH North St
Summerville, SC 29483-6166
Phone
(843) 873-0011
NPI assigned
Feb 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3332 SC Primary

Addresses

Primary practice location

607 W 5TH North St
Summerville, SC 29483-6166

Mailing address

607 W 5TH North St
Summerville, SC 29483-6166
Phone (843) 873-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000175 SC Practitioner - Chiropractic 9638325848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

607 W 5TH N St
Summerville, SC 29483-6166
Phone (843) 873-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3332SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Holdings LLC Chiropractor CurrentSince Mar 12, 2025 Accepting new patients
Low Country Specific Chiropractic LLC Chiropractor CurrentSince Jul 1, 2012 Accepting new patients

Locations

8 Davis Keats Dr
Greenville, SC 29607
Phone (864) 214-5010

607 W 5th North St
Summerville, SC 29483
Phone (843) 873-0011

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1801065339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W 5TH NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836166",
            "telephone_number": "843-873-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W 5TH NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836166",
            "telephone_number": "843-873-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALACHOWSKI",
        "first_name": "TRON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.