Inspired Family Chiropractic a Clark Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC33825 Issued in CA

Legal business name

INSPIRED FAMILY CHIROPRACTIC A CLARK CORPORATION

Practice address

18635 Soledad Canyon Rd
Suite 102
Santa Clarita, CA 91351-3725

Phone

(661) 347-6617

NPI assigned

May 5, 2017

Last updated

Sep 28, 2021By 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

Nicole Casse Clark, D.C.NPI 1184150427

Title

Doctor of Chiropractic

Phone

(661) 347-6617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Nicole Clark, D.C.

  • Chiropractor
  • Santa Clarita, CA
  • NPI 1184150427
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1073049326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18635 SOLEDAD CANYON RD",
            "address_2": "SUITE 102",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513725",
            "telephone_number": "661-347-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18635 SOLEDAD CANYON RD",
            "address_2": "SUITE 102",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513725",
            "telephone_number": "661-347-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED FAMILY CHIROPRACTIC A CLARK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "CASSE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "661-347-6617",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.