Individual provider Active NPI

Shereffa Clarke, D.C.

  • Chiropractor
  • Frisco, TX
National Provider Identifier
1437421997
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13837 Issued in TX
Practice address
9741 Preston Rd Ste 300
Frisco, TX 75033-2793
Phone
(972) 335-2004
Fax
(972) 335-2037
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10510 FL
Chiropractor 111N00000X 13837 TX Primary

Addresses

Primary practice location

9741 Preston Rd Ste 300
Frisco, TX 75033-2793

Mailing address

7830 NW 54TH St
Lauderhill, FL 33351-5055
Phone (813) 843-1865

Other practice location 1

7830 NW 54th St
Lauderhill, FL 33351-5055
Phone (813) 843-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13837TXMDProfessional Counselor
CH10510FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1437421997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 NW 54TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515055",
            "telephone_number": "813-843-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9741 PRESTON RD STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332793",
            "telephone_number": "972-335-2004",
            "fax_number": "972-335-2037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7830 NW 54th St",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333515055",
            "country_code": "US",
            "telephone_number": "813-843-1865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "SHEREFFA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10510",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

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