Active NPI
Steven Clark South, DC
- Chiropractor
- El Dorado, AR
National Provider Identifier
1093904641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1266
- Practice address
- 1008 NW Ave
El Dorado, AR 71730 - Phone
- (870) 863-5886
- Fax
- (870) 863-5886
- NPI assigned
- Oct 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1266 | AR | Primary |
Addresses
Primary practice location
1008 NW Ave
El Dorado, AR 71730
Mailing address
1008 NW Ave
El Dorado, AR 71730
Phone (870) 863-5886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1093904641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 NW AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "71730",
"telephone_number": "870-863-5886",
"fax_number": "870-863-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 NW AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "71730",
"telephone_number": "870-863-5886",
"fax_number": "870-863-5886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTH",
"first_name": "STEVEN",
"middle_name": "CLARK",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-19",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.