Individual provider Active NPI

Cami Lee Cleaveland, D.C

  • Chiropractor
  • Newton, MA
National Provider Identifier
1831792027
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3722 Issued in MA
Practice address
29 Crafts St Ste 570
Newton, MA 02458-1282
Phone
(617) 964-7900
Fax
(617) 965-8071
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 002159 CT
Chiropractor 111N00000X 3722 MA Primary

Addresses

Primary practice location

29 Crafts St Ste 570
Newton, MA 02458-1282

Mailing address

703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (781) 961-3370

Other practice location 1

16 Ocean Avenue
West Haven, CT 06516
Phone (203) 932-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610002771 MA Practitioner - Chiropractic 8022418128

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

703 Granite St
Suite 3
Braintree, MA 02184-5350

703 Granite St
Suite 3
Braintree, MA 02184-5473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002159CTMDClinical Psychologist
3722MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleaveland Chiropractic LLC Chiropractor Current Accepting new patients
Shoreline Family Chiropractic & Wellness Chiropractor PastSince Nov 1, 2020 Accepting new patients

Locations

207 Cambridge St
Unit C
Burlington, MA 01803
Phone (781) 214-1710

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1831792027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CRAFTS ST STE 570",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581282",
            "telephone_number": "617-964-7900",
            "fax_number": "617-965-8071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Ocean Avenue",
            "address_purpose": "LOCATION",
            "city": "West Haven",
            "state": "CT",
            "postal_code": "06516",
            "country_code": "US",
            "telephone_number": "203-932-4476",
            "fax_number": "203-932-4176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEAVELAND",
        "first_name": "CAMI",
        "middle_name": "LEE",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002159",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.