Individual provider Active NPI

Charles Edward Chaney Jr.

  • Bus
  • Cleveland, OH
National Provider Identifier
1013737972
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
BusTaxonomy code 347B00000X
Practice address
17220 Olympia Rd
Cleveland, OH 44112-1423
Phone
(216) 903-0128
NPI assigned
Oct 15, 2024
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Bus 347B00000X NU Primary

Addresses

Primary practice location

17220 Olympia Rd
Cleveland, OH 44112-1423

Mailing address

340 Royal Oak Blvd
Richmond HTS, OH 44143-1710
Phone (216) 903-0128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1013737972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ROYAL OAK BLVD",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441431710",
            "telephone_number": "216-903-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 OLYMPIA RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121423",
            "telephone_number": "216-903-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.