Seasons Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SEASONS CHIROPRACTIC LLC

Practice address

3298 E 17TH St
Ammon, ID 83406-6758

Phone

(208) 970-6650

Fax

(385) 881-1122

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Wooten, DC

Title

Manager

Phone

(801) 878-9565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Marston, D.C.

  • Chiropractor
  • Ammon, ID
  • NPI 1699093633
  Medicare reassignment NPD
• Jesse Adam Cleverley, D.C.

  • Chiropractor
  • South Jordan, UT
  • NPI 1386785939

  ID

  Medicare reassignment NPD
• Patrick Terry Mayo, DC

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1861575961
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699747200000",
    "number": "1104494400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 S REDWOOD RD STE 230",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236410",
            "telephone_number": "801-878-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066758",
            "telephone_number": "208-970-6650",
            "fax_number": "385-881-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-878-9565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin P Scoresby, D.C.
• Laura Lee Scott, NP-C
• Sunnie Kuhn Scott, LCPC
• Angela Lynn Seal, BS, CADC
• Saleena Seals
• Shadow and Light Wellness LLC
• Benjerman Shay, PHARMD
• Amanda Sherry, BA
• Merilee Shively, BS
• Joseph Shumate, RECOVERY COACH

• Chiropractor in Ammon, ID
• Providers in Ammon, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.