Clark Clinical Consulting LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLARK CLINICAL CONSULTING LLC

Doing business as

CC Medical Supplies

Practice address

1420 N Bridge St
Elkin, NC 28621-2335

Phone

(336) 835-1517

NPI assigned

Jul 5, 2022

Last updated

Jul 5, 2022By 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

Deirdre V Clark, DC, ND, CHTNPI 1053615989

Title

Owner

Phone

(704) 266-3250

Specialties & licenses 1

Addresses

Other names 1

• CC Medical Supplies Doing business as

Locations

Practitioners 2

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.

• Deirdre V Clark, DC, ND, CHT, CCRA

  • Chiropractor
  • Charlotte, NC
  • NPI 1053615989
  NPD Authorized official
• Emily Mullis Reid, D.C.

  • Chiropractor
  • Elkin, NC
  • NPI 1427449214
  NPD (past)

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1003549403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212335",
            "telephone_number": "336-835-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212335",
            "telephone_number": "336-835-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CLINICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-266-3250",
        "authorized_official_credential": "DC, ND, CHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CC Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlotte Eye Ear Nose & Throat Associates, P.a.
• Megan Blankenship Cheek, FNP
• Karyn Cherry, LMFTA
• Monica Cid, M.D.
• Hakan Cinemre, M.D.
• Lynn Hampton Clayton, RDN, LDN, CDCES
• Clearview Testing Centers, PLLC
• Greylin Dakota Cleary
• David H Cline IV, D.D.S.
• John Kerry Collins, MD

• Durable Medical Equipment & Medical Supplies in Elkin, NC
• Providers in Elkin, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.