Organization Active NPI

Thomas R. Clark, D.C., P.a.

  • Chiropractor
  • Amarillo, TX
National Provider Identifier
1376801639
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11827 Issued in TX
Legal business name
THOMAS R. CLARK, D.C., P.A.
Practice address
2418 SW 9TH Ave
Amarillo, TX 79106-6620
Phone
(806) 372-3361
Fax
(806) 372-3955
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Thomas Roy ClarkNPI 1487877213
Title
Owner
Phone
(806) 372-3361

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 11827 TX Primary

Addresses

Primary practice location

2418 SW 9TH Ave
Amarillo, TX 79106-6620

Mailing address

2418 SW 9TH Ave
Amarillo, TX 79106-6620
Phone (806) 372-3361

Other names 1

  • Panhandle Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2418 W 9th Ave
Amarillo, TX 79106
Phone (806) 372-3361

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1376801639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066620",
            "telephone_number": "806-372-3361",
            "fax_number": "806-372-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066620",
            "telephone_number": "806-372-3361",
            "fax_number": "806-372-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. CLARK, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-372-3361"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panhandle Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.