Individual provider Active NPI

Dean E McCleve, CPO

  • Prosthetist
  • Lake Havasu City, AZ
National Provider Identifier
1073406013
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CPO02666 Issued in AZ
Practice address
1976 Mesquite Ave # B
Lake Havasu City, AZ 86403-5729
Phone
(480) 242-6530
Fax
(480) 242-6530
NPI assigned
May 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X CPO02666 AZ Primary
Orthotist 222Z00000X CPO02666 AZ

Addresses

Primary practice location

1976 Mesquite Ave # B
Lake Havasu City, AZ 86403-5729

Mailing address

1976 Mesquite Ave # B
Lake Havasu City, AZ 86403-5729

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

State licenses

LicenseStateTypeSpecialty
CPO02666AZMDOrthotist

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1073406013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 MESQUITE AVE # B",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 MESQUITE AVE # B",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035729",
            "telephone_number": "480-242-6530",
            "fax_number": "480-242-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEVE",
        "first_name": "DEAN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "AZ",
            "license": "CPO02666",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "AZ",
            "license": "CPO02666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.