Clark Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1596 Issued in AR

Legal business name

CLARK FAMILY CHIROPRACTIC

Practice address

2300 South 57TH Street
Suite 1
Fort Smith, AR 72903

Phone

(479) 484-0805

Fax

(479) 452-1475

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Betty Jo ClarkNPI 1275581902

Title

DC

Phone

(479) 484-0805

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

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

• Betty Jo Clark, DC

  • Chiropractor
  • Fort Smith, AR
  • NPI 1275581902
  Medicare reassignment Care Compare group NPD Authorized official
• Scott Matthew Clark, DC

  • Chiropractor
  • Fort Smith, AR
  • NPI 1265490734
  Medicare reassignment Care Compare group NPD
• Abby Keener, DC

  • Chiropractor
  • Rogers, AR
  • NPI 1003413857
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255406971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SOUTH 57TH STREET",
            "address_2": "SUITE 1",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-484-0805",
            "fax_number": "479-452-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SOUTH 57TH STREET",
            "address_2": "SUITE 1",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-484-0805",
            "fax_number": "479-452-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "479-484-0805"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1596",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1597",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5X058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5X057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hon Quoc Chung, O.D.
• Rebecca Cisneros, M.D.
• Cisterna Emergency Physicians LLC
• Bryan Hollan Clardy, M.D.
• Sabrina Clardy
• Betty Jo Clark, DC
• Brittany Clark
• Christine Clark, LPC
• Cindy Clark, LPN
• Elizabeth Ann Clark, APN

• Chiropractor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.