Clark Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3973 Issued in FL

Legal business name

CLARK CHIROPRACTIC CENTER INC

Practice address

2706 20TH St
Vero Beach, FL 32960-3001

Phone

(772) 567-0771

Fax

(772) 567-0575

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael James Clark, D.C.

Title

President

Phone

(772) 567-0771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1013238393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 BARKER ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584808",
            "telephone_number": "772-567-0771",
            "fax_number": "772-567-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603001",
            "telephone_number": "772-567-0771",
            "fax_number": "772-567-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-567-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis A Cisneros, MD
• Victor Cisneros, MSN, NP-C, CMSRN
• Bettie Cius
• Claras Place Inc
• Clarice Ellen Donahue LLC
• Ashlee Antoinette Clark, RN
• Christopher Shadburn Clark, MD
• Michael James Clark, D.C.
• Fredericka Clarke, AU.D.
• Paula D Clarke

• Chiropractor in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.