Thomas A Clark, D.O.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

TC005814 Issued in MI

Practice address

29100 Gateway Blvd
Ste 100
Flat Rock, MI 48134-2764

Phone

(734) 379-9200

Fax

(734) 379-9229

NPI assigned

Jan 30, 2006

Sex

Male

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

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Porter and Clark Chiropractic PLLCGroup PAC ID 4183771140, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Porter & Clark Chiropractic PLLC

  • Chiropractor
  • Flat Rock, MI
  • NPI 1316009756
  Medicare reassignment Care Compare group NPD Authorized official
• Awan and Associates PC

  • Family Medicine Physician
  • Allen Park, MI
  • NPI 1215960497
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194796037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29100 GATEWAY BLVD",
            "address_2": "STE 100",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481342764",
            "telephone_number": "734-379-9200",
            "fax_number": "734-379-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29100 GATEWAY BLVD",
            "address_2": "STE 100",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481342764",
            "telephone_number": "734-379-9200",
            "fax_number": "734-379-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TC005814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Lane Burt, DDS
• Caiden Wellness Consultants LLC
• Jeffrey Caldwell, LPC
• Caring Companions in Home Services LLC
• City of Flat Rock
• Marcel Cole
• Colleen D. Browne DO PC (Colleen D. Landino)
• Robin Marie Coolsaet, PT, DPT
• Marsha Crawford
• Caylee Nicholl Crook

• Chiropractor in Flat Rock, MI
• Providers in Flat Rock, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.