Organization Active NPI

Timothy a Gleason DC

Doing business as Gleason Family Chiropractic

  • Chiropractor
  • Merced, CA
National Provider Identifier
1336477512
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0226850 Issued in CA
Legal business name
TIMOTHY A GLEASON DC
Doing business as
Gleason Family Chiropractic
Practice address
840 W Olive Ave
Ste. D
Merced, CA 95348-2421
Phone
(209) 725-5005
Fax
(209) 725-3020
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Dr. Timothy A Gleason, D.C.NPI 1417052770
Title
Owner
Phone
(209) 725-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0226850 CA Primary

Addresses

Primary practice location

840 W Olive Ave
Ste. D
Merced, CA 95348-2421

Mailing address

840 W Olive Ave
Ste. D
Merced, CA 95348-2421
Phone (209) 725-5005

Other names 1

  • Gleason Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091211000518 CA Part B Supplier - Clinic/Group Practice 1557401163 Receives reassigned benefits from 1 practitioner
Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Locations

1138 Olivewood Dr
Merced, CA 95348
Phone (209) 725-5005

840 W Olive Ave
Ste D
Merced, CA 95348
Phone (209) 725-5005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1336477512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 W OLIVE AVE",
            "address_2": "STE. D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482421",
            "telephone_number": "209-725-5005",
            "fax_number": "209-725-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W OLIVE AVE",
            "address_2": "STE. D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482421",
            "telephone_number": "209-725-5005",
            "fax_number": "209-725-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A GLEASON DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-725-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0226850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gleason Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.