Organization Active NPI

Cascade Foot and Ankle Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Provo, UT
National Provider Identifier
1942338496
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CASCADE FOOT AND ANKLE CLINIC PC
Practice address
1973 N State St
Provo, UT 84604-5711
Phone
(801) 373-2499
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Jared T Clegg, DPMNPI 1588664759
Title
Owner-Sole Physician
Phone
(801) 373-2499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1973 N State St
Provo, UT 84604-5711

Mailing address

1973 N State St
Provo, UT 84604-1012
Phone (801) 373-2499

Other identifiers 1

IdentifierTypeStateIssuer
528217084001MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050811000523 UT Part B Supplier - Clinic/Group Practice 8426087263 Receives reassigned benefits from 2 practitioners
Practice locations: Delta, UT; Nephi, UT; Provo, UT
O20100930072316 UT DME Supplier - Physician - Podiatry 8426087263 Practice locations: Provo, UT

National Provider Directory

National Provider Directory
Tax ID family
Cascade Foot Ankle Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

140 White Sage Ave
Delta, UT 84624
Phone (435) 864-3333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1942338496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041012",
            "telephone_number": "801-373-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045711",
            "telephone_number": "801-373-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE FOOT AND ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "CLEGG",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER-SOLE PHYSICIAN",
        "authorized_official_telephone_number": "801-373-2499",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528217084001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.