Michael Malivuk

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7155 Issued in CO

Practice address

5780 N Carefree Cir
Colorado Springs, CO 80917-2795

Phone

(719) 597-9737

NPI assigned

Apr 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powers Dental Group, LLP

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1235216052
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548480759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 N. CAREFREE CIRCLE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 N CAREFREE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809172795",
            "telephone_number": "719-597-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIVUK",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "7155",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daria Maliesky
• Michael Andrew Malinaro, PHARM. D.
• Eliane Maling
• Chris John Malinky, MD
• Suzanne M Malis, MD
• Jamie Mallet
• Bradley Lawrence Mallett, MA, LPC
• Renae Mallett, MA, LPC
• David Scott Mallette, M.D.
• Roger Lee Mallory, MD

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.