Organization Active NPI

David J. Clark, DC Professional Association

  • Chiropractor
  • Mesquite, TX
National Provider Identifier
1336252998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9348 Issued in TX
Legal business name
DAVID J. CLARK, DC PROFESSIONAL ASSOCIATION
Practice address
1900 Oates Dr
Suite 145
Mesquite, TX 75150-6862
Phone
(972) 613-7574
NPI assigned
Aug 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David J Clark, D.C.NPI 1851302814
Title
Director
Phone
(972) 613-7574

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9348 TX Primary

Addresses

Primary practice location

1900 Oates Dr
Suite 145
Mesquite, TX 75150-6862

Mailing address

1900 Oates Dr
Suite 145
Mesquite, TX 75150-6862
Phone (972) 613-7574

National Provider Directory

National Provider Directory

Locations

10233 E Northwest Hwy
Ste 508
Dallas, TX 75238
Phone (214) 341-3737

1900 Oates Dr
Ste 145
Mesquite, TX 75150
Phone (214) 613-3184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336252998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OATES DR",
            "address_2": "SUITE 145",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506862",
            "telephone_number": "972-613-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OATES DR",
            "address_2": "SUITE 145",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506862",
            "telephone_number": "972-613-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. CLARK, DC PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-613-7574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.