Active NPI
Daniel Thomas Ladeairous, D.C.
- Chiropractor
- Clovis, CA
National Provider Identifier
1255414017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 30095
- Practice address
- 200 W Shaw Ave
#114
Clovis, CA 93612-3684 - Phone
- (559) 273-6540
- NPI assigned
- Oct 23, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 30095 | CA | Primary |
Addresses
Primary practice location
200 W Shaw Ave
#114
Clovis, CA 93612-3684
Mailing address
5684 E Christine Ave
Fresno, CA 93727-6142
Phone (559) 255-1268
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC 30095 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255414017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5684 E CHRISTINE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937276142",
"telephone_number": "559-255-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W SHAW AVE",
"address_2": "#114",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123684",
"telephone_number": "559-273-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADEAIROUS",
"first_name": "DANIEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 30095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.