Betty Jo Clark, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1597 Issued in AR

Practice address

8000 Dallas St
Fort Smith, AR 72903-4277

Phone

(479) 484-0805

Fax

(479) 452-1475

NPI assigned

May 5, 2006

Sex

Female

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 AR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Family ChiropracticGroup PAC ID 0547384638, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Clark Family Chiropractic

  • Chiropractor
  • Fort Smith, AR
  • NPI 1255406971
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1275581902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034277",
            "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": "8000 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034277",
            "telephone_number": "479-484-0805",
            "fax_number": "479-452-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BETTY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cisterna Emergency Physicians LLC
• Bryan Hollan Clardy, M.D.
• Kenneth Clardy
• Sabrina Clardy
• Clark Family Chiropractic
• Brittany Clark
• Christine Clark, LPC
• Cindy Clark, LPN
• Elizabeth Ann Clark, APN
• Gabrielle Ann Clark

• 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 Jun 19, 2012; 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.