Active NPI
Pleasant Valley CSD
- Local Education Agency (LEA)
- Pleasant Valley, IA
National Provider Identifier
1417966490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- PLEASANT VALLEY CSD
- Practice address
- 525 Belmont Rd
Pleasant Valley, IA 52767-0332 - Phone
- (563) 332-5550
- Fax
- (563) 332-4372
- NPI assigned
- Aug 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mike L Clingingsmith
- Title
- Chief Financial Officer
- Phone
- (563) 332-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | IA | Primary |
Addresses
Primary practice location
525 Belmont Rd
Pleasant Valley, IA 52767-0332
Mailing address
525 Belmont Rd
PO Box 332
Pleasant Valley, IA 52767-0332
Phone (563) 332-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0457762 | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417966490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 BELMONT RD",
"address_2": "PO BOX 332",
"city": "PLEASANT VALLEY",
"state": "IA",
"postal_code": "527670332",
"telephone_number": "563-332-5550",
"fax_number": "563-332-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BELMONT RD",
"city": "PLEASANT VALLEY",
"state": "IA",
"postal_code": "527670332",
"telephone_number": "563-332-5550",
"fax_number": "563-332-4372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT VALLEY CSD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLINGINGSMITH",
"authorized_official_first_name": "MIKE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "563-332-5550",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0457762",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Valley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.