Timothy R Van Cleve LTD Apcc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11-00000106 Issued in LA

Legal business name

TIMOTHY R VAN CLEVE LTD APCC

Doing business as

Maplewood Chiropractic Clinic

Practice address

214 S Cities Service Hwy
Sulphur, LA 70663-6404

Phone

(337) 625-4077

Fax

(337) 625-5938

NPI assigned

Nov 2, 2011

Last updated

Nov 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Eileen Garcia

Title

Office Manager

Phone

(337) 625-4077

Specialties & licenses 1

Addresses

Other names 1

• Maplewood Chiropractic Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Raymond Vancleve, D.C.

  • Chiropractor
  • Sulphur, LA
  • NPI 1871552448
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1356627459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S CITIES SERVICE HWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636404",
            "telephone_number": "337-625-4077",
            "fax_number": "337-625-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S CITIES SERVICE HWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636404",
            "telephone_number": "337-625-4077",
            "fax_number": "337-625-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R VAN CLEVE LTD APCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-625-4077"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "11-00000106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amy Sarah Thompson Soileau, M.D.
• Andrew J Thrasher, PH.D.
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• Chiropractor in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.