NPIMap

Organization Active NPI

Cleveland Health Ventures LLC

  • Neurology Physician
  • Kings Mountain, NC
National Provider Identifier
1326323239
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CLEVELAND HEALTH VENTURES LLC
Practice address
823 E King St
Kings Mountain, NC 28086-3186
Phone
(704) 487-7256
Fax
(704) 487-7258
NPI assigned
Oct 12, 2011
Organization subpart
Yes
Parent organization
KLEIN NEUROLOGY AND SLEEPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Daniel L Wiens
Title
Senior Vice President Operations
Phone
(704) 355-0648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

823 E King St
Kings Mountain, NC 28086-3186

Mailing address

PO Box 601884
Charlotte, NC 28260-1884
Phone (704) 487-7256

Other identifiers 1

IdentifierTypeStateIssuer
5918682MedicaidNC

Other names 1

  • Klein Neurology and Sleep Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Hospitalist Group10 organizations share this tax ID, including this one
Part of
Carolinas Hospitalist Group

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

823 E King St
Kings Mountain, NC 28086
Phone (980) 487-2010

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1326323239",
    "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": "704-487-7256",
            "fax_number": "704-487-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 E KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863186",
            "telephone_number": "704-487-7256",
            "fax_number": "704-487-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HEALTH VENTURES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KLEIN NEUROLOGY AND SLEEP",
        "enumeration_date": "2011-10-12",
        "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 OPERATIONS",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918682",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klein Neurology and Sleep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kings Mountain, NC

Sources for this page

  • 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.