Individual provider Active NPI

Timothy L Lloyd, DC

  • Chiropractor
  • Perrysburg, OH
National Provider Identifier
1295870236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2649 Issued in OH
Practice address
29101 Hufford Rd
Suite 106
Perrysburg, OH 43551-2872
Phone
(419) 874-9355
Fax
(419) 874-9344
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2649 OH Primary
Chiropractor 111N00000X 2301007589 MI

Addresses

Primary practice location

29101 Hufford Rd
Suite 106
Perrysburg, OH 43551-2872

Mailing address

29101 Hufford Rd
Suite 106
Perrysburg, OH 43551-2872
Phone (419) 874-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000921 OH Practitioner - Chiropractic 6305981747 Practice locations: Perrysburg, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007589MIMDChiropractor
2649OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295870236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29101 HUFFORD RD",
            "address_2": "SUITE 106",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512872",
            "telephone_number": "419-874-9355",
            "fax_number": "419-874-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HUFFORD RD",
            "address_2": "SUITE 106",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512872",
            "telephone_number": "419-874-9355",
            "fax_number": "419-874-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2649",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

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.
  • 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.