Individual provider Active NPI

Sarah Lynn Clark, D.C.

  • Chiropractor
  • Hanford, CA
National Provider Identifier
1184953705
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31445 Issued in CA
Practice address
800 N Irwin St
Hanford, CA 93230-3848
Phone
(559) 584-4545
Fax
(559) 415-6552
NPI assigned
Dec 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31445 CA Primary

Addresses

Primary practice location

800 N Irwin St
Hanford, CA 93230-3848

Mailing address

800 N Irwin St
Hanford, CA 93230-3848
Phone (559) 584-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000263 CA Practitioner - Chiropractic 0042490633 Reassigns benefits to 1 organization
Practice locations: Hanford, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31445CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Sarah Clark Kings Chiropractic, Inc Chiropractor CurrentSince Jan 1, 2018 Accepting new patients
Kings Chiropractic PastSince Oct 19, 2010 Accepting new patients

Locations

800 N Irwin St
Hanford, CA 93230
Phone (559) 212-6758

102 S Douty St
Hanford, CA 93230
Phone (559) 584-4545

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1184953705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N IRWIN ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303848",
            "telephone_number": "559-584-4545",
            "fax_number": "559-415-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N IRWIN ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303848",
            "telephone_number": "559-584-4545",
            "fax_number": "559-415-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.