DR. JOHN KNOX MALTBY II D.C.
NPI 1164805750
Chiropractor in Eagle, ID
About Dr. John Knox Maltby Ii D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN KNOX MALTBY II D.C. (NPI 1164805750) is an individual chiropractor in Eagle, Idaho, licensed in Idaho (CHIA-1760) and active in the NPI registry since July 2015. He is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John Knox Maltby Ii D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Maltby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Andreas, CA 95249
- Reassigned Medicare billing, Texas enrollment
- 41 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Maltby's NPI number?
The NPI number for John Maltby is 1164805750. It was assigned to this individual provider in the NPPES registry on July 1, 2015.
Where is John Maltby located?
John Maltby practices at 1299 E Iron Eagle Dr Suite 130, Eagle, ID 83616. The listed phone number is (208) 939-6100.
What is John Maltby's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is John Maltby enrolled in Medicare?
Yes. John Maltby is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Maltby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Maltby reassigns Medicare benefits to M A C T Health Board Incorporated (San Andreas, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Maltby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Maltby was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. John Knox Maltby II, D.C. · NPI 1164805750
Chiropractor provider in Eagle, Idaho. Individual provider, active in the CMS NPPES registry since July 1, 2015.
## Identity
- **NPI:** 1164805750 (Entity type: Individual)
- **Enumerated:** July 1, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIA-1760 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1299 E IRON EAGLE DR, SUITE 130, Eagle, ID 83616-6869
- **Phone:** (208) 939-6100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** M A C T Health Board Incorporated (NPI 1366519431, San Andreas, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 24, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1164805750) · Data from the CMS NPPES public registry.