Individual provider Active NPI

Clint J. Grover, D.C.

  • Chiropractor
  • Bountiful, UT
National Provider Identifier
1831492917
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7868356-1202 Issued in UT
Practice address
535 W 500 S Ste 1
Bountiful, UT 84010-8176
Phone
(801) 335-7288
Fax
(801) 335-7284
NPI assigned
Dec 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007355 IA
Chiropractor 111N00000X 038011806 IL
Chiropractor 111N00000X 7868356-1202 UT Primary

Addresses

Primary practice location

535 W 500 S Ste 1
Bountiful, UT 84010-8176

Mailing address

535 W 500 S Ste 1
Bountiful, UT 84010-8176
Phone (801) 335-7288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140507001772 UT Practitioner - Chiropractic 7810176138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

724 W 500
Suite 100
West Bountiful, UT 84087-1433
Phone (801) 335-7288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007355IAMDClinical Social Worker
038011806ILMDChiropractor
7868356-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
1St Place Chiropractic, LTD Chiropractor PastSince Apr 13, 2007 Accepting new patients
Hands for Life Bountiful Chiropractor PastSince Jan 20, 2014 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1831492917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W 500 S STE 1",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108176",
            "telephone_number": "801-335-7288",
            "fax_number": "801-335-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W 500 S STE 1",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108176",
            "telephone_number": "801-335-7288",
            "fax_number": "801-335-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "CLINT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-13",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007355",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011806",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7868356-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.