Organization Active NPI

Maline Family Chiropractic PLLC

  • Clinic/Center
  • Manistique, MI
National Provider Identifier
1992945588
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2301010177 Issued in MI
Legal business name
MALINE FAMILY CHIROPRACTIC PLLC
Practice address
127 Arbutus Ave
Manistique, MI 49854-1453
Phone
(906) 341-6601
Fax
(906) 341-5134
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. Jonathan C Maline, DCNPI 1083872055
Title
Doctor
Phone
(906) 341-6601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2301010177 MI Primary

Addresses

Primary practice location

127 Arbutus Ave
Manistique, MI 49854-1453

Mailing address

127 Arbutus Ave
Manistique, MI 49854-1453
Phone (906) 341-6601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140513002219 MI Part B Supplier - Clinic/Group Practice 9032332341 Receives reassigned benefits from 1 practitioner
Practice locations: Manistique, MI

National Provider Directory

National Provider Directory

Locations

127 Arbutus Ave
Manistique, MI 49854
Phone (906) 254-5400

2949 N 204th St
Ste 108
Elkhorn, NE 68022
Phone (402) 991-8884

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1992945588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ARBUTUS AVE",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541453",
            "telephone_number": "906-341-6601",
            "fax_number": "906-341-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ARBUTUS AVE",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541453",
            "telephone_number": "906-341-6601",
            "fax_number": "906-341-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALINE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "MALINE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "906-341-6601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2301010177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistique, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.