Jesse Adam Cleverley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9213627-1202 Issued in UT

Practice address

1684 W Reunion Ave Ste 250
South Jordan, UT 84095-4626

Phone

(801) 562-0363

Fax

(801) 562-0347

NPI assigned

Feb 8, 2007

Last updated

Dec 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seasons Chiropractic LLC

  • Chiropractor
  • Ammon, ID
  • NPI 1104494400
  Medicare reassignment NPD
• Bond Chiropractic Inc

  • Chiropractor
  • South Jordan, UT
  • NPI 1508163189
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1386785939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 W REUNION AVE STE 250",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954626",
            "telephone_number": "801-562-0363",
            "fax_number": "801-562-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 W REUNION AVE STE 250",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954626",
            "telephone_number": "801-562-0363",
            "fax_number": "801-562-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVERLEY",
        "first_name": "JESSE",
        "middle_name": "ADAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-851",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "9213627-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010008123",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806192200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clean Clinic
• Elyzabeth Clegg
• Jacqueline Renae Cleghorn, CMHC
• David Clement, D.C.
• Cleverley Chiropractic, PLLC
• Jaron Clyde
• David J Coates, D.D.S.
• Jana Cochran, CMHC
• Jamie Coleman, APRN FNP-C
• Laurie Coleman, MSW, LCSW

• Chiropractor in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.