Provider Demographics
NPI:1760739767
Name:RONALD J MALPIEDE D.C., P.C.
Entity Type:Organization
Organization Name:RONALD J MALPIEDE D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:MALPIEDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-424-9888
Mailing Address - Street 1:4045 WADSWORTH BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4626
Mailing Address - Country:US
Mailing Address - Phone:303-424-9888
Mailing Address - Fax:
Practice Address - Street 1:4045 WADSWORTH BLVD STE 300
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4626
Practice Address - Country:US
Practice Address - Phone:303-424-9888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1207111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1124115712OtherTYPE 1 NPI
COC10013Medicare UPIN