Corey Jason Malnikof, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556340 Issued in VA

Practice address

46169 Westlake Dr
Suite 300
Sterling, VA 20165-5875

Phone

(703) 421-2990

Fax

(703) 421-2822

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Palmercare Chiropractic Falls Church LLC

  • Chiropractor
  • Falls Church, VA
  • NPI 1326582479
  NPD (past)
• Palmercare Chiropractic Flower Mound LLC

  • Chiropractor
  • Flower Mound, TX
  • NPI 1477221588
  NPD (past)
• Palmercare Chiropractic Frisco LLC

  • Chiropractor
  • Frisco, TX
  • NPI 1558028506
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1881607083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46169 WESTLAKE DR",
            "address_2": "SUITE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655875",
            "telephone_number": "703-421-2990",
            "fax_number": "703-421-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46169 WESTLAKE DR",
            "address_2": "SUITE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655875",
            "telephone_number": "703-421-2990",
            "fax_number": "703-421-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALNIKOF",
        "first_name": "COREY",
        "middle_name": "JASON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisah Mahmood
• Angel Maillet
• Wilmer Maldonado
• Sabina Malhotra, D.P.M.
• Poolatsya Girishbhai Maliwad, P.T.
• Vivian K Malnikof, DC
• Dattathri B Malyavantham, DDS
• Lisa Pascarella Mangano, OTR/L
• Mary Grasmeder Mangus
• Chenel Mann, COUNSELORINRESIDENCE

• Chiropractor in Sterling, VA
• Providers in Sterling, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.