NPIMap

Organization Active NPI

Timothy J Keyes Jr., DC LLC

Doing business as cleveland spine and performance health

  • Health Service Clinic/Center
  • Lyndhurst, OH
National Provider Identifier
1710088869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
3639 Issued in OH
Legal business name
TIMOTHY J KEYES JR., DC LLC
Doing business as
cleveland spine and performance health
Practice address
5122 Mayfield Rd
Lyndhurst, OH 44124-2406
Phone
(440) 684-1000
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Jacob Keyes Jr., DC
Title
Owner
Phone
(440) 684-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 3639 OH Primary

Addresses

Primary practice location

5122 Mayfield Rd
Lyndhurst, OH 44124-2406

Mailing address

5122 Mayfield Rd
Lyndhurst, OH 44124-2406
Phone (440) 684-1000

Other names 1

  • cleveland spine and performance health Doing business as

National Provider Directory

National Provider Directory

Locations

5122 Mayfield Rd
Lyndhurst, OH 44124
Phone (440) 684-1000

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710088869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242406",
            "telephone_number": "440-684-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242406",
            "telephone_number": "440-684-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J KEYES JR., DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEYES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-684-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "3639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cleveland spine and performance health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyndhurst, OH

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.

Verify at the official NPI Registry.