DR. JUSTIN RAY CLEVERLEY (NPI# 1386630531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386630531 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN RAY CLEVERLEY |
| Credential | D.C. |
| Practice Address |
800 Main St Buhl ID 83316-1236 |
| Practice Telephone | 2085432005 |
| Practice Fax Number | 2085434172 |
| Mailing Telephone | 2085432005 |
| Mailing Fax Number | 2085434172 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA-902 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805752600 | 05 | |
| ID | REGENCE BLUE SHIELD | 000010027755 | 01 |
| ID | BLUE CROSS | C1575 | 01 |
| Street Address |
800 MAIN ST |
| City | BUHL |
| State | ID |
| Zip Code | 83316-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609277276 | Rorri Henstock | Massage Therapist | 800 Main St, Buhl, ID 83316-1236 | 2014-09-15 |
| 1972780260 | Clebverley Chiropractic | Chiropractor | 800 Main St, Buhl, ID 83316-1236 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336608868 | Tdc Buhl Pllc | Dentist | 529 Broadway Ave South, Buhl, ID 83316 | 2019-03-14 |
| 1568950566 | North Canyon Medical Center, Inc. | Clinic/Center | 718 Hwy 30, Buhl, ID 83316 | 2018-04-25 |
| 1679908297 | Brandon Keith Smith | Pharmacist | 419 Boadway Ave S, Buhl, ID 83316 | 2013-09-13 |
| 1891978839 | Sheila M Hunter | Counselor | 428 13th Ave. N, Buhl, ID 83316 | 2007-12-13 |
| 1558440313 | Jonathan Ragner Sander | Denturist | 124 11th Avenue North, Denture Center, Buhl, ID 83316 | 2006-11-03 |
| 1548354707 | Dana Leon Nofziger | Family Medicine | 709 Fair St, Buhl, ID 83316 | 2006-10-03 |
| 1649388091 | Con H Annest | Dentist | 529 South Broadway, Buhl, ID 83316 | 2006-08-27 |
| 1417060633 | John H Osterkamp | Dentist | 709 Fair Ave, Buhe, ID 83316 | 2006-08-15 |
| 1033542923 | Anna Howard | Counselor | 920 Main St, Buhl, ID 83316-1238 | 2013-08-14 |
| 1558407650 | County of Twin Falls Class A Sch Dist 412 | Local Education Agency (LEA) | 920 Main St, Buhl, ID 83316-1238 | 2007-01-29 |
| Find all providers in zip 83316 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972780260 | Clebverley Chiropractic | Chiropractor | 800 Main St, Buhl, ID 83316-1236 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625488 | Cv Chiropractic Pllc | Chiropractor | 1201 E Gilbert Ave, Coeur D Alene, ID 83815-4958 | 2020-10-08 |
| 1780290981 | East Ridge Chiropractic, Pllc | Chiropractor | 1320 S Ammon Rd, Ammon, ID 83406-5810 | 2020-09-22 |
| 1124638143 | Madison J Wills | Chiropractor | 9196 W Emerald St Ste 120, Boise, ID 83704-8003 | 2020-08-04 |
| 1376161646 | Erena Martina Lanza | Chiropractor | 1224 1st St S Ste 304, Nampa, ID 83651-3963 | 2020-07-13 |
| 1285252619 | Kynan Tarnowski | Chiropractor | 16150 N High Desert St Ste 112, Nampa, ID 83687-5567 | 2020-07-13 |
| 1962027433 | Convergence Chiropractic Company | Chiropractor | 404 E Parkcenter Blvd Ste 170, Boise, ID 83706-7564 | 2020-06-10 |
| 1790300598 | Vancorp LLC | Chiropractor | 270 W Georgia Ave Ste 110, Nampa, ID 83686-2835 | 2020-06-08 |
| 1811519838 | Cody Wilhelm | Chiropractor | 1505 Madrona St N # 900c, Twin Falls, ID 83301-8318 | 2020-05-13 |
| 1467074559 | Amber R Dunford | Chiropractor | 3030 Glenbrook Dr, Hailey, ID 83333-7602 | 2020-05-11 |
| 1366071649 | Kevin Allen | Chiropractor | 237 N 2nd E Ste 106, Rexburg, ID 83440-4977 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.