Ryan Scott Clark, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10652036-1202 Issued in UT

Practice address

1416 N Redwood Rd Ste B
Saratoga Springs, UT 84045-6455

Phone

(801) 753-8481

Fax

(801) 331-8426

NPI assigned

Oct 15, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kemp Chiropractic

  • Chiropractor
  • Saratoga Springs, UT
  • NPI 1972817062
  NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1114525748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 N REDWOOD RD STE B",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456455",
            "telephone_number": "801-753-8481",
            "fax_number": "801-331-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 N REDWOOD RD STE B",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456455",
            "telephone_number": "801-753-8481",
            "fax_number": "801-331-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "10652036-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "UT",
            "affiliation": "N",
            "endpointDescription": "none",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "UT",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "1416 N Redwood Rd Ste B",
            "city": "Saratoga Springs",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840456455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rose Christofferson
• City of Saratoga Springs
• Amber Clark, DDS
• Kammi Clark
• Madisen Clark
• Ashton Clarke
• Alison Claunch, FNP
• Mandy Collins
• Courtney Connole
• Maliana Corniea

• Chiropractor in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.