Individual provider Active NPI

Andrew Matthew Malocu, DC

  • Chiropractor
  • Greensboro, NC
National Provider Identifier
1881583391
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5928 Issued in NC
Practice address
4113 Lawndale Dr
Greensboro, NC 27455-1889
Phone
(363) 814-2366
Fax
(336) 235-0754
NPI assigned
Jun 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5928 NC Primary

Addresses

Primary practice location

4113 Lawndale Dr
Greensboro, NC 27455-1889

Mailing address

4113 Lawndale Dr
Greensboro, NC 27455-1889
Phone (363) 814-2366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731004042 NC Practitioner - Chiropractic 9234647389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rodulfo Chiropractic PLLCGroup PAC ID 9032113899, 3 clinicians

Practice addresses (Care Compare)

4113 Lawndale Dr
Greensboro, NC 27455-1889
Phone (336) 235-4530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5928NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rodulfo Chiropractic PLLC CurrentSince Jul 23, 2025 Accepting new patients

Locations

4113 Lawndale Dr
Greensboro, NC 27455
Phone (336) 235-4530

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1881583391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551889",
            "telephone_number": "363-814-2366",
            "fax_number": "336-235-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551889",
            "telephone_number": "363-814-2366",
            "fax_number": "336-235-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOCU",
        "first_name": "ANDREW",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.