Individual provider Active NPI

Chad Alan Malwitz, D.C.

  • Chiropractor
  • Blue Earth, MN
National Provider Identifier
1841296290
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3445 Issued in MN
Practice address
105 N Grove St
Blue Earth, MN 56013-2407
Phone
(507) 526-5656
Fax
(507) 526-5757
NPI assigned
Jun 21, 2005
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3445 MN Primary

Addresses

Primary practice location

105 N Grove St
Blue Earth, MN 56013-2407

Mailing address

105 N Grove St
Blue Earth, MN 56013-2407
Phone (507) 525-2931

Other identifiers 2

IdentifierTypeStateIssuer
157L4WEOtherMNBCBS NUMBER
172131300MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000735 MN Practitioner - Chiropractic 6709771785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 N Grove St
Blue Earth, MN 56013-2407
Phone (507) 526-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Chiropractic Clinic Inc Chiropractor CurrentSince Sep 1, 2003 Accepting new patients
Chime Mental Health Services LLC. PastSince Dec 24, 2023 Accepting new patients

Locations

105 N Grove St
Blue Earth, MN 56013
Phone (507) 526-5656

46 S Broadway
Wells, MN 56097
Phone (507) 461-0874

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1841296290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N GROVE ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132407",
            "telephone_number": "507-525-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N GROVE ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132407",
            "telephone_number": "507-526-5656",
            "fax_number": "507-526-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALWITZ",
        "first_name": "CHAD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "157L4WE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172131300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Earth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.