DR. MALLORY NOONAN DC
NPI 1417715160
Chiropractor in Arroyo Grande, CA
About Dr. Mallory Noonan Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MALLORY NOONAN DC (NPI 1417715160) is an individual chiropractor in Arroyo Grande, California, licensed in California (35211) and active in the NPI registry since March 2024. She is a graduate of Other (2023).
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 and accepts Medicare assignment
Dr. Mallory Noonan Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mallory Noonan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arroyo Grande, CA 93420
- Reassigned Medicare billing, California enrollment
- 213 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 12
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 Mallory Noonan's NPI number?
The NPI number for Mallory Noonan is 1417715160. It was assigned to this individual provider in the NPPES registry on March 7, 2024.
Where is Mallory Noonan located?
Mallory Noonan practices at 260 Station Way, Arroyo Grande, CA 93420. The listed phone number is (805) 473-6201.
What is Mallory Noonan's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mallory Noonan enrolled in Medicare?
Yes. Mallory Noonan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mallory Noonan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Noonan reassigns Medicare benefits to Community Health Centers Of The Central Coast, Inc (Arroyo Grande, 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 Mallory Noonan'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 Mallory Noonan was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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. Mallory Noonan, DC · NPI 1417715160
Chiropractor provider in Arroyo Grande, California. Individual provider, active in the CMS NPPES registry since March 7, 2024.
## Identity
- **NPI:** 1417715160 (Entity type: Individual)
- **Enumerated:** March 7, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 35211 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 260 STATION WAY, Arroyo Grande, CA 93420-3359
- **Phone:** (805) 473-6201 · **Fax:** (805) 473-6291
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Community Health Centers Of The Central Coast, Inc (NPI 1598064008, Arroyo Grande, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417715160) · Data from the CMS NPPES public registry.