Zyon Justice Cleverley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2375 Issued in ID

Practice address

800 Main St
Buhl, ID 83316-1236

Phone

(208) 751-3647

NPI assigned

Sep 29, 2023

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 ID

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Justin Ray Cleverley, D.C.

  • Chiropractor
  • Buhl, ID
  • NPI 1386630531

  ID

  Medicare reassignment
• Cleverley Chiropractic

  • Chiropractor
  • Buhl, ID
  • NPI 1972780260
  NPD (past)

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1376323147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 N 1509 E",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833165822",
            "telephone_number": "208-751-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833161236",
            "telephone_number": "208-751-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVERLEY",
        "first_name": "ZYON",
        "middle_name": "JUSTICE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cascades at Desert View, LLC
• Charolais Care III, Inc
• Lauren Clelland, MD
• Cleverley Chiropractic
• Justin Ray Cleverley, D.C.
• Comprehensive Family Services
• Paris Conwell, LPC
• County of Twin Falls Class a SCH Dist 412
• Dana L Nofziger MD PA
• Joshua Clinton Dean, DDS

• All providers in Buhl, ID
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.