Kanema Clark, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14392 Issued in FL

Practice address

26731 Dublin Woods Cir Ste 2
Bonita Springs, FL 34135-7271

Phone

(239) 200-7248

NPI assigned

Oct 26, 2023

Last updated

Oct 26, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arc of Life Family Spinal Care LLC

  • Health Service Clinic/Center
  • Bonita Springs, FL
  • NPI 1427484252
  NPD

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1245002724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26731 DUBLIN WOODS CIR STE 2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26731 DUBLIN WOODS CIR STE 2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357271",
            "telephone_number": "239-200-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KANEMA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Chambers
• Lori Chang, PSY.D.
• Sarah Churton, M.D.
• Caley Cinelli
• Drew-Montez Clark, D.C.
• Coast Dental P.a. (Coast Dental-Bonita Springs)
• Coastal Chiropractic Health Solutions PLLC
• Nathan Alexander Colby
• Steven P Coleman, D.O.
• Bella Amore Coles

• Chiropractor in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.