Dallas Clark, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15563 Issued in TX

Practice address

724 W Main St Ste 450
Lewisville, TX 75067-3582

Phone

(972) 353-7711

NPI assigned

Sep 28, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1174302095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 FRANCISCAN DR APT 632",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W MAIN ST STE 450",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673582",
            "telephone_number": "972-353-7711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Wynnewood Village",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75224",
            "country_code": "US",
            "telephone_number": "214-946-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DALLAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy G. Hart, D.C.,P.C.
• Kristen Ciolino, PA-C
• City of Lewisville (City of Lewisville Ambulance / Lewisville Fire Department)
• Clark C. Byroad D.C., P.a. (Byroad Chiropractic)
• Claire Clark
• James Earl Clark, LCDC
• Richard Clark, PSY.D.
• Taylor Clark
• Lisa K Clayton, M.D.
• Clear Eye & Optical Flower Mound PLLC

• Chiropractor in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.