Active NPI
Marya O'Malley, D.C.
- Chiropractor
- Albuquerque, NM
National Provider Identifier
1811901721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1627
- Practice address
- 3100 Coors BVLD NW
Albuquerque, NM 87120 - Phone
- (505) 831-0022
- Fax
- (505) 831-7158
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1627 | NM | Primary |
Addresses
Primary practice location
3100 Coors BVLD NW
Albuquerque, NM 87120
Mailing address
2622 San Mateo Blvd NE
Albuquerque, NM 87110-3130
Phone (505) 888-0331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1403 | MN | MD | Acupuncturist |
| 1627 | NM | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great River Therapy Inc | Past | Accepting new patients | |
| Patterson Chiropractic PA | Chiropractor | Past | Accepting new patients |
| Natural Touch Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
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.
-
- Physical Therapist
- Red Wing, MN
- NPI 1003128869
-
dba Health Within Chiropractic and Acupuncture
- Chiropractor
- Red Wing, MN
- NPI 1932366150
-
- Chiropractor
- Red Wing, MN
- NPI 1326190505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811901721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2622 SAN MATEO BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103130",
"telephone_number": "505-888-0331",
"fax_number": "505-888-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 COORS BVLD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87120",
"telephone_number": "505-831-0022",
"fax_number": "505-831-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "MARYA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.