Individual provider Active NPI

Cody Clayton Mecham, D.C.

  • Independent Medical Examiner Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1295002640
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
7320335-1202 Issued in UT
Practice address
3424 S 2300 E
Salt Lake City, UT 84109-3022
Phone
(801) 486-9201
Fax
(801) 486-1288
NPI assigned
Nov 29, 2011
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X 7320335-1202 UT Primary

Addresses

Primary practice location

3424 S 2300 E
Salt Lake City, UT 84109-3022

Mailing address

3424 S 2300 E
Salt Lake City, UT 84109-3022
Phone (801) 486-9201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321000339 UT Practitioner - Chiropractic 1951608843 Practice locations: Salt Lake City, UT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1921 E Nunley Cir
Salt Lake City, UT 84121-1331
Phone (406) 579-5032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Chiropractic PastSince Feb 7, 2017 Accepting new patients
Prevention Chiropractic Health, Inc. PastSince Jun 1, 2015 Accepting new patients

Organizations & group practices 2

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": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1295002640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 S 2300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093022",
            "telephone_number": "801-486-9201",
            "fax_number": "801-486-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 S 2300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093022",
            "telephone_number": "801-486-9201",
            "fax_number": "801-486-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHAM",
        "first_name": "CODY",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "UT",
            "license": "7320335-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.