Individual provider Active NPI

Timothy Adam Clarrey, D.C.

  • Chiropractor
  • The Villages, FL
National Provider Identifier
1699074617
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14062 Issued in FL
Practice address
1950 Laurel Manor Dr Ste 204
The Villages, FL 32162-5608
Phone
(352) 259-0024
Fax
(352) 430-1904
NPI assigned
Mar 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14062 FL Primary

Addresses

Primary practice location

1950 Laurel Manor Dr Ste 204
The Villages, FL 32162-5608

Mailing address

1950 Laurel Manor Dr Ste 204
The Villages, FL 32162-5608
Phone (352) 259-0024

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.legacyclinic.org

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1699074617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR STE 204",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625608",
            "telephone_number": "352-259-0024",
            "fax_number": "352-430-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR STE 204",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625608",
            "telephone_number": "352-259-0024",
            "fax_number": "352-430-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARREY",
        "first_name": "TIMOTHY",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-16",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.legacyclinic.org",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "address_1": "1950 Laurel Manor Dr Ste 204",
            "city": "The Villages",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321625608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.