NPIMap

Organization Active NPI

Clark Chiropractic Center,LLC

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1053665802
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CLARK CHIROPRACTIC CENTER,LLC
Practice address
507 E Parrish Ave
Owensboro, KY 42303-3126
Phone
(270) 852-9355
Fax
(270) 852-1870
NPI assigned
Nov 1, 2012
Organization subpart
Yes
Parent organization
OWENSBORO WELLNESS AND REHABAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Aaron Clark, DCNPI 1063444032
Title
Owner
Phone
(270) 233-2024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X KY Primary

Addresses

Primary practice location

507 E Parrish Ave
Owensboro, KY 42303-3126

Mailing address

507 E Parrish Ave
Owensboro, KY 42303-3126
Phone (270) 852-9355

National Provider Directory

National Provider Directory
Tax ID family
Clark Chiropractic Centerllc2 organizations share this tax ID, including this one
Part of
Clark Chiropractic Centerllc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

507 E Parrish Ave
Owensboro, KY 42303
Phone (270) 852-9355

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1053665802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033126",
            "telephone_number": "270-852-9355",
            "fax_number": "270-852-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033126",
            "telephone_number": "270-852-9355",
            "fax_number": "270-852-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHIROPRACTIC CENTER,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OWENSBORO WELLNESS AND REHAB",
        "enumeration_date": "2012-11-01",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-233-2024",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.