Malvern Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1692 Issued in AR

Legal business name

MALVERN CHIROPRACTIC, P.A.

Practice address

1219 S Main St
Malvern, AR 72104-5225

Phone

(501) 332-3651

Fax

(501) 332-2519

NPI assigned

Apr 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Vance Paul, D.C.NPI 1134344526

Title

President

Phone

(501) 332-3651

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Vance Paul, D.C.

  • Chiropractor
  • Malvern, AR
  • NPI 1134344526

  AR

  Medicare reassignment Authorized official
• Lee Brent Dover, DC

  • Chiropractor
  • Castroville, TX
  • NPI 1043286149
  NPD

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1992920185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045225",
            "telephone_number": "501-332-3651",
            "fax_number": "501-332-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045225",
            "telephone_number": "501-332-3651",
            "fax_number": "501-332-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALVERN CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-332-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalonda Macon
• Magnet Cove Schools
• James Kelly Mahone, MD
• Gracie Malcom
• Desha Malone, RECOVERY ASSISTANT
• Malvern Family Pharmacy LLC
• Malvern Health and Rehab LLC
• Malvern Operations, LLC
• Malvern Physical Therapy and Wellness
• Malvern Public School District

• All providers in Malvern, AR
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.