Cleveland Health Ventures LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

CLEVELAND HEALTH VENTURES LLC

Practice address

510 W King St
Suite C
Kings Mountain, NC 28086-3310

Phone

(980) 487-2270

Fax

(704) 734-0379

NPI assigned

Jun 18, 2009

Organization subpart

Yes

Parent organization

CLEVELAND HEALTH VENTURES LLCAs reported in NPPES

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

Authorized official

Name

Mr. Daniel L Wiens

Title

Senior Vice President

Phone

(704) 355-0648

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cleveland Endocrinology Doing business as

Part of

Carolinas Hospitalist Group

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cleveland Health Ventures, LLC

  • Family Medicine Physician
  • Grover, NC
  • NPI 1740210897
  NPPES parent name

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1124255047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601884",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601884",
            "telephone_number": "980-487-2270",
            "fax_number": "704-734-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W KING ST",
            "address_2": "SUITE C",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863310",
            "telephone_number": "980-487-2270",
            "fax_number": "704-734-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HEALTH VENTURES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND HEALTH VENTURES LLC",
        "enumeration_date": "2009-06-18",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB319",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913029",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cleveland County Healthcare System
• Cleveland County Healthcare System
• Cleveland County Healthcare Systems
• Cleveland County Life Saving and Rescue Squad Inc
• Cleveland County Schools
• Cleveland Health Ventures LLC
• Cleveland Health Ventures LLC
• Cleveland Health Ventures LLC
• Cleveland Health Ventures LLC
• Cleveland Health Ventures LLC

• All providers in Kings Mountain, NC
• Endocrinology, Diabetes & Metabolism Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.