Individual provider Active NPI

Lincoln Clark, DC

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1467042242
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61128989 Issued in WA
Practice address
2320 N Atlantic St # 103
Spokane, WA 99205-4811
Phone
(601) 526-1993
NPI assigned
Jan 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61128989 WA Primary

Addresses

Primary practice location

2320 N Atlantic St # 103
Spokane, WA 99205-4811

Mailing address

2320 N Atlantic St # 103
Spokane, WA 99205-4811

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hello@theadjustmeant.com

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1467042242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N ATLANTIC ST # 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N ATLANTIC ST # 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054811",
            "telephone_number": "601-526-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LINCOLN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61128989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hello@theadjustmeant.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "2320 N Atlantic St # 103",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992054811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.