Gordon McClean, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

150410-1202 Issued in UT

Practice address

385 N 500 W
Provo, UT 84601-2681

Phone

(801) 373-1035

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McClean Chiropractic Clinic, LLCGroup PAC ID 3577526581, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• McClean Chiropractic Clinic, LLC

  • Physical Therapist
  • Provo, UT
  • NPI 1073542999
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053408955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012681",
            "telephone_number": "801-373-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012681",
            "telephone_number": "801-373-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEAN",
        "first_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "UT",
            "license": "150410-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Carolina McCarl
• Jonathan Ryan McCarl
• Scott Edward McCauley, M.S.
• McClean Chiropractic Clinic, LLC
• Devin McClean, D.C.
• Matthew McClean, D.C.
• Alexa McClellan
• Gavin Dale McClellan, OTR/L
• Jeffrey S McClellan, MD
• Madeline McClellan

• Orthopedic Chiropractor in Provo, UT
• Providers in Provo, UT by specialty
• Orthopedic Chiropractor in Utah

• 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.
• 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.