Active NPI
Timothy Raymond Vancleve, D.C.
- Chiropractor
- Sulphur, LA
National Provider Identifier
1871552448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 895
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5167439 | Other | LA | AETNA |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 895 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy R Van Cleve LTD Apcc | Chiropractor | Past | 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.
-
dba Maplewood Chiropractic Clinic
- Chiropractor
- Sulphur, LA
- NPI 1356627459
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.