Jennifer Lynn McCleary, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2006000482 Issued in MO

Practice address

225 S Meramec Ave
Suite 920T
Clayton, MO 63105-3511

Phone

(314) 833-4600

Fax

(314) 833-4601

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Triad Sports and Family Chiropractic LLC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1851449250
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1609899186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S MERAMEC AVE",
            "address_2": "SUITE 920T",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053511",
            "telephone_number": "314-833-4600",
            "fax_number": "314-833-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MERAMEC AVE",
            "address_2": "SUITE 920T",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053511",
            "telephone_number": "314-833-4600",
            "fax_number": "314-833-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEARY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2006000482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahlai May
• Jerome Milton Mayer, DDS
• McBride Wellness LLC
• Kelly McBride, MA, LPC
• Kyle Thomas McClain, MA, LPC
• Mary McClellan, DMD
• Katie Bridges McDaniel, MS
• Jennifer Elizabeth McFarland, FNP-C
• Joan M McGinnis, RN,MSN,CDE
• Elizabeth A McMullen

• Sports Physician Chiropractor in Clayton, MO
• Providers in Clayton, MO by specialty
• Sports Physician Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.