Benjamin H Clack, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

921 Issued in MT

Practice address

1732 Prospect Ave
Helena, MT 59601-4550

Phone

(406) 449-7458

Fax

(406) 449-7496

NPI assigned

Nov 30, 2006

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 MT

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Clack Chiropractic Center, PC

  • Chiropractor
  • Helena, MT
  • NPI 1467626481
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1164590188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 DREDGE DR",
            "address_2": "STE C",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020561",
            "telephone_number": "406-449-7458",
            "fax_number": "406-449-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 PROSPECT AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014550",
            "telephone_number": "406-449-7458",
            "fax_number": "406-449-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLACK",
        "first_name": "BENJAMIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle S Cicero, DPT
• Cindy L Little, LCSW, PC
• Roger Arthur Citron, R.PH.
• Diana Claassen, MD
• Clack Chiropractic Center, PC
• Amy Lacy Claeys, DDS
• Christian Lee Claeys, DDS
• Kessalyn Rae Clark, LCSW, LAC
• Nicole Christine Clark, MD
• Clark'S Orthopedic & Medical

• All providers in Helena, MT
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.