Cascade Foot and Ankle Clinic PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CASCADE FOOT AND ANKLE CLINIC PC

Doing business as

JARED T CLEGG DPM

Practice address

1973 North State St
Provo, UT 84604-5711

Phone

(801) 373-2499

Fax

(801) 373-5200

NPI assigned

Mar 29, 2012

Organization subpart

Yes

Parent organization

CASCADE FOOT AND ANKLE PCAs reported in NPPES

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

Authorized official

Name

Jared T Clegg, DPM

Title

Owner

Phone

(801) 373-2499

Specialties & licenses 1

Addresses

Other names 1

• JARED T CLEGG DPM Doing business as

Tax ID family

Cascade Foot Ankle Clinic2 organizations share this tax ID, including this one

Part of

Cascade Foot Ankle Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cascade Foot and Ankle Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Provo, UT
  • NPI 1942338496
  NPD tax ID

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1295001683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 NORTH STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045711",
            "telephone_number": "801-373-2499",
            "fax_number": "801-373-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 NORTH STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045711",
            "telephone_number": "801-373-2499",
            "fax_number": "801-373-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE FOOT AND ANKLE CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADE FOOT AND ANKLE PC",
        "enumeration_date": "2012-03-29",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "CLEGG",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-373-2499",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JARED T CLEGG DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ann Carter, LCSW
• Rachelle Carter
• Reed Carter
• Jakob Carver
• Victoria Carver
• Cascade Foot and Ankle Clinic PC
• Cascade Spinal Rehab Center LLC
• Camille Lorraine Case
• Jonathan M Case, LCSW
• Keana K Casey

• Foot & Ankle Surgery Podiatrist in Provo, UT
• Providers in Provo, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.