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DR. MITCHELL ROBERT MALLY D.C.
NPI 1790786358
Chiropractor in Davenport, IA

Active since August 04, 2005Accepts Medicare Assignment
3400 DEXTER CT STE 105, DAVENPORT, IA 52807(563) 823-5555(563) 823-5556 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mitchell Robert Mally D.c. NPPES

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

DR. MITCHELL ROBERT MALLY D.C. (NPI 1790786358) is an individual chiropractor in Davenport, Iowa, licensed in Iowa (04853) and active in the NPI registry since August 2005. He is a graduate of Palmer College Chiropractic - Davenport (1981).

NPPES Registry Identity

NPI1790786358
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MITCHELL ROBERT MALLYCredential: D.C.
Location Address3400 DEXTER CT STE 105Davenport, IA 52807
Mailing Address3400 Dexter Ct Ste 105Davenport, IA 52807-3462 · (563) 823-5555 · Fax (563) 823-5556
Phone(563) 823-5555
Fax(563) 823-5556
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1981
Enumeration DateAugust 4, 2005
Last NPPES UpdateJuly 23, 2018
✔ NPI 1790786358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 04853
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.
3400 DEXTER CT STE 105, Davenport, IA 52807
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Other Identifiers 1

Medicaid1192278IA

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

Dr. Mitchell Robert Mally 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 ID2769452762
PECOS Enrollment IDI20051228000035

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
724 services63 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
94 services23 patients

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 Mitchell Mally's NPI number?

The NPI number for Mitchell Mally is 1790786358. It was assigned to this individual provider in the NPPES registry on August 4, 2005.

Where is Mitchell Mally located?

Mitchell Mally practices at 3400 Dexter Ct Ste 105, Davenport, IA 52807. The listed phone number is (563) 823-5555.

What is Mitchell Mally's specialty?

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

Is Mitchell Mally enrolled in Medicare?

Yes. Mitchell Mally 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.

When was this NPI record last updated?

The NPPES record for Mitchell Mally was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.