DWIGHT M MALONE
NPI 1154774107
Driver in Mesa, AZ

Active since July 14, 2016
1505 N COUNTRY CLUB DR APT 118, MESA, AZ 85201(480) 547-4960 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dwight M Malone NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DWIGHT M MALONE (NPI 1154774107) is an individual driver provider in Mesa, Arizona, licensed in Arizona (L2088992) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1154774107
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameDWIGHT M MALONE
Location Address1505 N COUNTRY CLUB DR APT 118Mesa, AZ 85201-2518
Mailing Address1505 N Country Club Dr Apt 118Mesa, AZ 85201-2518 · (480) 547-4960
Sole ProprietorNo
Enumeration DateJuly 14, 2016
NPI 1154774107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in AZ · L2088992
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
1505 N COUNTRY CLUB DR APT 118, Mesa, AZ 85201

Other Identifiers 1

Medicaid812493202AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dwight Malone's NPI number?

The NPI number for Dwight Malone is 1154774107. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Dwight Malone located?

Dwight Malone practices at 1505 N Country Club Dr Apt 118, Mesa, AZ 85201. The listed phone number is (480) 547-4960.

What is Dwight Malone's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Dwight Malone was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.