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SEASONS CHIROPRACTIC LLC
NPI 1104494400
Chiropractor in Ammon, ID

Active since June 14, 2021
3298 E 17TH ST, AMMON, ID 83406(208) 970-6650(385) 881-1122 Get Directions Write a Review

NPPES record last updated: November 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2023, Jun 14, 2021 (2 updates tracked since 2021).

About Seasons Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEASONS CHIROPRACTIC LLC (NPI 1104494400) is a healthcare organization registered as a chiropractor in Ammon, Idaho and active in the NPI registry since June 2021. The organization lists Jacob Wooten, Manager, as its authorized official.

NPPES Registry Identity

NPI1104494400
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSEASONS CHIROPRACTIC LLC
Location Address3298 E 17TH STAmmon, ID 83406-6758
Mailing Address6243 S Redwood Rd Ste 230Taylorsville, UT 84123-6410 · (801) 878-9565
Phone(208) 970-6650
Fax(385) 881-1122
Organization SubpartNo
Authorized OfficialJacob WootenManager · (801) 878-9565
Enumeration DateJune 14, 2021
Last NPPES UpdateNovember 12, 20232 updates tracked since enumeration
NPPES CertifiedNovember 12, 2023
✔ NPI 1104494400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
3298 E 17TH ST, Ammon, ID 83406
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seasons Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Seasons Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Joshua Marston, D.C.
Chiropractic
NPI 1699093633
3298 E 17TH ST
Ammon, ID 83406
(208) 522-3863
✔ Accepts MedicareSame address
Jesse Cleverley, D.C.
Chiropractic
NPI 1386785939
1684 W REUNION AVE STE 250
South Jordan, UT 84095
(801) 562-0363
201 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seasons Chiropractic LLC's NPI number?

The NPI number for Seasons Chiropractic LLC is 1104494400. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is Seasons Chiropractic LLC located?

Seasons Chiropractic LLC is located at 3298 E 17th St, Ammon, ID 83406. The listed phone number is (208) 970-6650.

What is Seasons Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Seasons Chiropractic LLC enrolled in Medicare?

Yes. Seasons Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seasons Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Seasons Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Seasons Chiropractic LLC accept?

Health plans from University of Utah Health Plans list Seasons Chiropractic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seasons Chiropractic LLC was last updated on November 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.