NPIMap

Organization Active NPI

Clark Chiropractic Centre

  • Chiropractor
  • Farmington Hills, MI
National Provider Identifier
1184964876
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLARK CHIROPRACTIC CENTRE
Practice address
28800 W 8 Mile Rd
Ste 5858
Farmington Hills, MI 48336-5906
Phone
(248) 471-0440
Fax
(248) 471-6270
NPI assigned
Feb 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Dr. James Alvin Clark, DCNPI 1750334546
Title
Owner
Phone
(248) 471-0440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X

Addresses

Primary practice location

28800 W 8 Mile Rd
Ste 5858
Farmington Hills, MI 48336-5906

Mailing address

28800 W 8 Mile Rd
Ste 5858
Farmington Hills, MI 48336-5906
Phone (248) 471-0440

Other identifiers 1

IdentifierTypeStateIssuer
0F33353OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

28800 W 8 Mile Rd
Ste 5858
Farmington Hills, MI 48336
Phone (248) 471-0440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1184964876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28800 W 8 MILE RD",
            "address_2": "STE 5858",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365906",
            "telephone_number": "248-471-0440",
            "fax_number": "248-471-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 W 8 MILE RD",
            "address_2": "STE 5858",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365906",
            "telephone_number": "248-471-0440",
            "fax_number": "248-471-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHIROPRACTIC CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-471-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0F33353",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.