MALLORY NICOLE WALES D.C.
NPI 1457691594
Chiropractor in Royal Oak, MI

Active since February 27, 2013Accepts Medicare Assignment
26300 WOODWARD AVE, ROYAL OAK, MI 48067(248) 546-2110 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 27, 2021, May 14, 2021, Aug 23, 2017 (3 updates tracked since 2017).

About Mallory Nicole Wales D.c. NPPES

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

MALLORY NICOLE WALES D.C. (NPI 1457691594) is an individual chiropractor in Royal Oak, Michigan, licensed in Michigan (2301010995) and active in the NPI registry since February 2013. She is affiliated with Henry Ford Health Hospital, maintains a secondary practice location in Fort Wayne, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1457691594
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMALLORY NICOLE WALESCredential: D.C.
Location Address26300 WOODWARD AVERoyal Oak, MI 48067-0917
Mailing Address1637 Huffman BlvdFort Wayne, IN 46808-2203 · (269) 207-9090
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 27, 2013
Last NPPES UpdateAugust 27, 20213 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
NPI 1457691594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in MI · 2301010995 Licensed in IN · 08002702A
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
26300 WOODWARD AVE, Royal Oak, MI 48067

Secondary Practice Location 1

Location 16388 W Jefferson Blvd, Suite BFort Wayne, IN 46804-3075 · Phone (260) 432-9355

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mallory Nicole Wales D.c. 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.

PECOS PAC ID446496806
PECOS Enrollment IDI20210517000849

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Family Medicine
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Nurse Practitioner (Family)
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Physician Assistant
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Physician Assistant
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Family Medicine
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Non-Pharmacy Dispensing Site
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Pediatrics
26300 WOODWARD AVE
ROYAL OAK, MI 48067

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 Wales's NPI number?

The NPI number for Mallory Wales is 1457691594. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Mallory Wales located?

Mallory Wales practices at 26300 Woodward Ave, Royal Oak, MI 48067. The listed phone number is (248) 546-2110.

What is Mallory Wales's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mallory Wales enrolled in Medicare?

Yes. Mallory Wales 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.

What insurance does Mallory Wales accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, McLaren Health Plan Community and Priority Health list Mallory Wales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mallory Wales affiliated with any hospitals?

According to CMS data, Mallory Wales is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Mallory Wales was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.