Active NPI
Katherine Louise Clark, D.C.
- Chiropractor
- Davenport, IA
National Provider Identifier
1396059952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007348
- Practice address
- 1000 Brady St
Davenport, IA 52803-5214 - Phone
- (563) 884-5801
- Fax
- (563) 884-5731
- NPI assigned
- Aug 5, 2010
- Last updated
- Feb 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007348 | IA | Primary |
Addresses
Primary practice location
1000 Brady St
Davenport, IA 52803-5214
Mailing address
1000 Brady St
Davenport, IA 52803-5214
Phone (563) 884-5801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Brady St
Davenport, IA 52803-5214
Phone (563) 884-5801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer College Foundation | Chiropractor | Current | Accepting new patients |
| Bryant Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Locations
1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1396059952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BRADY ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035214",
"telephone_number": "563-884-5801",
"fax_number": "563-884-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BRADY ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035214",
"telephone_number": "563-884-5801",
"fax_number": "563-884-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "KATHERINE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.