Active NPI
Timothy Duciaume
- Driver
- Devils Lake, ND
National Provider Identifier
1124940994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 1120 Walnut St E
Devils Lake, ND 58301-3217 - Phone
- (701) 575-7582
- NPI assigned
- Jul 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
1120 Walnut St E
Devils Lake, ND 58301-3217
Mailing address
1120 Walnut St E
Devils Lake, ND 58301-3217
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": "1785110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1124940994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 WALNUT ST E",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583013217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 WALNUT ST E",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583013217",
"telephone_number": "701-575-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCIAUME",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.