MALLORY MILES SPETH DC
NPI 1770116865
Chiropractor in Cobb, WI
About Mallory Miles Speth Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY MILES SPETH DC (NPI 1770116865) is an individual chiropractor in Cobb, Wisconsin, licensed in Wisconsin (5482-12) and active in the NPI registry since February 2020.
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)
Mallory Miles Speth Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mallory Miles Speth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cobb, WI 53526
- Reassigned Medicare billing, Wisconsin enrollment
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 Mallory Miles Speth's NPI number?
The NPI number for Mallory Miles Speth is 1770116865. It was assigned to this individual provider in the NPPES registry on February 17, 2020.
Where is Mallory Miles Speth located?
Mallory Miles Speth practices at 109 Division St, Cobb, WI 53526. The listed phone number is (608) 723-7723.
What is Mallory Miles Speth's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mallory Miles Speth enrolled in Medicare?
Yes. Mallory Miles Speth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mallory Miles Speth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Miles Speth reassigns Medicare benefits to Miles Chiropractic, LLC (Cobb, WI). 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 Miles Speth'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 Miles Speth was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mallory Miles Speth, DC · NPI 1770116865
Chiropractor provider in Cobb, Wisconsin. Individual provider, active in the CMS NPPES registry since February 17, 2020.
## Identity
- **NPI:** 1770116865 (Entity type: Individual)
- **Enumerated:** February 17, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5482-12 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 109 DIVISION ST, Cobb, WI 53526-8501
- **Phone:** (608) 723-7723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Miles Chiropractic, LLC (NPI 1477222925, Cobb, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1770116865) · Data from the CMS NPPES public registry.