Clean Clinic

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

CLEAN CLINIC

Doing business as

Clean Clinic

Practice address

10421 S Jordan Gtwy Ste 600
South Jordan, UT 84095-3902

Phone

(801) 721-2491

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Webb

Title

Chief Operating Officer

Phone

(801) 721-2491

Specialties & licenses 1

Addresses

Other names 1

• Clean Clinic Doing business as

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1811582497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 S JORDAN GTWY STE 600",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953902",
            "telephone_number": "801-721-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 S JORDAN GTWY STE 600",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953902",
            "telephone_number": "801-721-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "801-721-2491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clean Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shay Clark, APC
• Thomas Edward Clark, OD
• Amanda Clavell
• Terri Lee Hopkins Clawson, DHSC, PA-C
• Cindy Clayborn
• Elyzabeth Clegg
• Jacqueline Renae Cleghorn, CMHC
• David Clement, D.C.
• Cleverley Chiropractic, PLLC
• Jesse Adam Cleverley, D.C.

• Corporate Health Clinic/Center in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Corporate Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.