Matthew Clark, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9647019-1202 Issued in UT

Practice address

5250 S Commerce Dr Ste 155
Murray, UT 84107-5379

Phone

(801) 747-7776

NPI assigned

Jan 11, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

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

• Matthew Clark

  • Neurology Chiropractor
  • Murray, UT
  • NPI 1497201370
  Medicare reassignment NPD Authorized official
• Advanced Spinal Rehabilitation PC

  • Chiropractor
  • Clearfield, UT
  • NPI 1366778201
  Medicare reassignment NPD

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154787844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 S COMMERCE DR STE 155",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075379",
            "telephone_number": "801-747-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 S COMMERCE DR STE 155",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075379",
            "telephone_number": "801-747-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 S Main St",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840415232",
            "country_code": "US",
            "telephone_number": "801-444-1230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 S Main St",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840415232",
            "country_code": "US",
            "telephone_number": "801-444-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MATTHEW",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "9647019-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Ladd Ciullo, M.D.
• Jared Clark
• Justin D Clark, LCSW
• Lin Clark
• Louise Clark
• Classic Optical
• Holly Lewis Clawson, CSW
• Clayton Plastic Surgery Specialists
• Anne Clayton, APRN, AGACNP
• Clearview Optical Inc

• Chiropractor in Murray, UT
• Providers in Murray, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.