Clark Walters, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5190 Issued in FL

Practice address

9375 US Highway North 19 Suite a
Pinellas Park, FL 33782

Phone

(727) 323-4507

Fax

(727) 323-1697

NPI assigned

Jun 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1023213642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 US HIGHWAY NORTH 19 SUITE A",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825420",
            "telephone_number": "727-323-4507",
            "fax_number": "727-323-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 US HIGHWAY NORTH 19 SUITE A",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33782",
            "telephone_number": "727-323-4507",
            "fax_number": "727-323-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CLARK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Brooke Walker, PTA
• Jakira Walker
• Robert L Walker, MSW
• Ida Sue Wallen, D.C.
• Linda Sue Walters, LMHC
• Autumn E Walton
• Zuozhen Wang, A.P., D.O.M.
• Christina Ann Ward, LMHC
• Lavina Ward, RN

• Chiropractor in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.