Aaron P. Clark, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4784 Issued in KY

Practice address

507 E Parrish Ave
Owensboro, KY 42303-3126

Phone

(270) 852-9355

Fax

(270) 852-1870

NPI assigned

Jul 7, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Family Practice

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Chiropractic Center LLCGroup PAC ID 8527039205, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clark Chiropractic Center, LLC

  • Chiropractor
  • Owensboro, KY
  • NPI 1619009438
  Medicare reassignment Care Compare group NPD Authorized official
• Clark Chiropractic Center,LLC

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1053665802
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1063444032",
    "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": {
        "last_name": "CLARK",
        "first_name": "AARON",
        "middle_name": "P.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CK Lewis Enterprises Inc (Bluegrass Apothecary LTC)
• CK Lewis Enterprises Inc (Bluegrass Apothecary)
• Clark Chiropractic Center, LLC
• Clark Chiropractic Center,LLC
• Sandra Rene Clark Howard, DMD
• Ann L Clark, MD
• Benjamin Paul Clark, PHARM.D, MPA
• Emily Kaye Clark, APRN
• Ian Clark, PA
• Jazmyne Clark

• Chiropractor in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.