Provider Demographics
NPI:1124115712
Name:MALPIEDE, RONALD J (DC, PC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:J
Last Name:MALPIEDE
Suffix:
Gender:M
Credentials:DC, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 WADSWORTH BLVD
Mailing Address - Street 2:300
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4642
Mailing Address - Country:US
Mailing Address - Phone:303-424-9888
Mailing Address - Fax:303-424-9144
Practice Address - Street 1:4045 WADSWORTH BLVD
Practice Address - Street 2:300
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4642
Practice Address - Country:US
Practice Address - Phone:303-424-9888
Practice Address - Fax:303-424-9144
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1207111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU47694Medicare UPIN
COC10013Medicare ID - Type Unspecified