Beth Anne Clark, LMT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

017514 Issued in NY

Practice address

1953 Ridge Rd
West Seneca, NY 14224-3339

Phone

(716) 675-4134

Fax

(716) 675-5733

NPI assigned

Oct 1, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bova Family Chiropractic

  • Chiropractor
  • West Seneca, NY
  • NPI 1114105624
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1376730689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 RIDGE RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243339",
            "telephone_number": "716-675-4134",
            "fax_number": "716-675-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 RIDGE RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243339",
            "telephone_number": "716-675-4134",
            "fax_number": "716-675-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BETH",
        "middle_name": "ANNE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "017514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M. Ciepiela, M.S., CCC-SLP
• Stephanie Ciesiulka, M.S. ED
• Stacie A Cifranick, RPA-C
• Chelsie June Ciminelli, LMSW
• Clabeaux Optical
• Michelle Clark, MA
• Clear Choice Hearing Associates
• David S Clifford, M.D.
• Maryanne Closson, RPH
• Miranda E Cobo, DPT

• Chiropractor in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.