Cleverley Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA902 Issued in ID

Legal business name

CLEVERLEY CHIROPRACTIC

Practice address

720 US-30
Buhl, ID 83316

Phone

(208) 543-2005

NPI assigned

Jan 29, 2008

Last updated

Dec 6, 2023By 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

Mandy Cleverley

Title

Secretary/Office Manager

Phone

(208) 543-2005

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Ray Cleverley, D.C.

  • Chiropractor
  • Buhl, ID
  • NPI 1386630531
  NPD
• Zyon Justice Cleverley, D.C.

  • Chiropractor
  • Buhl, ID
  • NPI 1376323147
  NPD (past)
• Rorri Henstock, L.M.T.

  • Massage Therapist
  • Buhl, ID
  • NPI 1609277276
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1972780260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833161236",
            "telephone_number": "208-543-2005",
            "fax_number": "208-543-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 US-30",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "83316",
            "telephone_number": "208-543-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Main St",
            "address_purpose": "LOCATION",
            "city": "Buhl",
            "state": "ID",
            "postal_code": "833161236",
            "country_code": "US",
            "telephone_number": "208-543-2005",
            "fax_number": "208-543-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEVERLEY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "CLEVERLEY",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "SECRETARY/OFFICE MANAGER",
        "authorized_official_telephone_number": "208-543-2005"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010027755",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C9917",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805752600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Briles
• Buhl Family Dental
• Cascades at Desert View, LLC (Cascades at Desert View)
• Charolais Care III, Inc (Desert View Care Center of Buhl)
• Lauren Clelland, MD
• Justin Ray Cleverley, D.C.
• Zyon Justice Cleverley, D.C.
• Comprehensive Family Services
• Paris Conwell, LPC
• County of Twin Falls Class a SCH Dist 412

• Chiropractor in Buhl, ID
• Providers in Buhl, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.