Clark Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1280 Issued in SD

Legal business name

CLARK FAMILY CHIROPRACTIC, LLC

Practice address

101 N Commercial St
Clark, SD 57225-1523

Phone

(605) 532-3360

Fax

(605) 532-1363

NPI assigned

Nov 21, 2016

Last updated

Jan 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael John Babcock, D.C.NPI 1396101309

Title

Doctor of Chiropractic

Phone

(605) 532-3360

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

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.

• Michael Babcock

  • Chiropractor
  • Aberdeen, SD
  • NPI 1396101309
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1386187490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N COMMERCIAL ST",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "572251523",
            "telephone_number": "605-532-3360",
            "fax_number": "605-532-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N COMMERCIAL ST",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "572251523",
            "telephone_number": "605-532-3360",
            "fax_number": "605-532-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "605-532-3360",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S110500",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Boehnke
• Clark Care and Rehabilitation Center LLC (Clark Care and Rehabilitation Center)
• Clark City SD Skilled Nursing Facility LLC (Avantara Clark City)
• Clark Community Pharmacy Inc (Clark Community Pharmacy)
• Clark County
• Clark Family Dental Center, LLC
• Essential Chiropractic
• Fay Wookey Memorial, Inc. (Fay Wookey Memorial Assisted Living Center)
• Ellie Jean Feldhaus
• Tyler Flammond

• Chiropractor in Clark, SD
• Providers in Clark, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.