Individual provider Active NPI

Todd Archer Gladieux, D.C.

  • Chiropractor
  • Yuba City, CA
National Provider Identifier
1184839607
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15708 Issued in CA
Practice address
1215 Plumas St Ste 101
Yuba City, CA 95991-3453
Phone
(530) 821-5865
Fax
(530) 673-4388
NPI assigned
May 10, 2007
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15708 CA Primary

Addresses

Primary practice location

1215 Plumas St Ste 101
Yuba City, CA 95991-3453

Mailing address

1215 Plumas St Ste 101
Yuba City, CA 95991-3453
Phone (530) 821-5865

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001210 CA Practitioner - Chiropractic 7618969809 Practice locations: Yuba City, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15708CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Accident & Injury Chiropractic Chiropractor Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1184839607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST STE 101",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913453",
            "telephone_number": "530-821-5865",
            "fax_number": "530-673-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST STE 101",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913453",
            "telephone_number": "530-821-5865",
            "fax_number": "530-673-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADIEUX",
        "first_name": "TODD",
        "middle_name": "ARCHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.