Active NPI
Timothy J. Kelemen, D.C.
- Chiropractor
- Cerritos, CA
National Provider Identifier
1487723268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC15492
- Practice address
- 11456 South St
Cerritos, CA 90703-6611 - Phone
- (562) 865-0504
- Fax
- (562) 924-0269
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC15492 | CA | Primary |
Addresses
Primary practice location
11456 South St
Cerritos, CA 90703-6611
Mailing address
11456 South St
Cerritos, CA 90703-6611
Phone (562) 865-0504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487723268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11456 SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036611",
"telephone_number": "562-865-0504",
"fax_number": "562-924-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11456 SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036611",
"telephone_number": "562-865-0504",
"fax_number": "562-924-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELEMEN",
"first_name": "TIMOTHY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC15492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.