Timothy W. Angely, D.C., Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1093 Issued in LA

Legal business name

TIMOTHY W. ANGELY, D.C., INC.

Doing business as

Advanced Chiropractic

Practice address

1953 E 70TH St
Suite 1
Shreveport, LA 71105-5300

Phone

(318) 797-1505

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By 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

Dr. Timothy W Angely, D.C.NPI 1982780011

Title

Ceo

Phone

(318) 797-1505

Specialties & licenses 1

Addresses

Other names 1

• Advanced Chiropractic 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 Wright Angely, D.C.

  • Chiropractor
  • Shreveport, LA
  • NPI 1982780011
  NPD (past) Authorized official

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1811181340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 E 70TH ST",
            "address_2": "SUITE 1",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055300",
            "telephone_number": "318-797-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 E 70TH ST",
            "address_2": "SUITE 1",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055300",
            "telephone_number": "318-797-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY W. ANGELY, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "ANGELY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-797-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arneka S Tillman, PHARMD
• Gerica Michelle Tillman, REGISTERED NURSE
• Sean Andrew Tilmon, MD
• Timeless Care Center LLC
• Alisha Timon, RN
• James Tims
• Cody Tingle, M.D.
• Alizunte Tinsley
• Allen Tinsley
• Madge S Tinsley, P.T.

• Chiropractor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.