Individual provider Active NPI

Timothy Raymond Vancleve, D.C.

  • Chiropractor
  • Sulphur, LA
National Provider Identifier
1871552448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
895 Issued in LA
Practice address
214 S Cities Service Hwy
Sulphur, LA 70663-6404
Phone
(337) 625-4077
Fax
(337) 625-5938
NPI assigned
Mar 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 895 LA Primary

Addresses

Primary practice location

214 S Cities Service Hwy
Sulphur, LA 70663-6404

Mailing address

214 S Cities Service Hwy
Sulphur, LA 70663-6404
Phone (337) 625-4077

Other identifiers 1

IdentifierTypeStateIssuer
5167439OtherLAAETNA

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
895LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy R Van Cleve LTD Apcc Chiropractor PastSince Aug 31, 2011 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871552448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S CITIES SERVICE HWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636404",
            "telephone_number": "337-625-4077",
            "fax_number": "337-625-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S CITIES SERVICE HWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636404",
            "telephone_number": "337-625-4077",
            "fax_number": "337-625-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCLEVE",
        "first_name": "TIMOTHY",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5167439",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

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.

Verify at the official NPI Registry.