Clack Chiropractic Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

921 Issued in MT

Legal business name

CLACK CHIROPRACTIC CENTER, PC

Practice address

3180 Dredge Dr Ste C
Helena, MT 59602-0561

Phone

(406) 449-2116

Fax

(406) 513-1027

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Benjamin H Clack, D.C.NPI 1164590188

Title

Owner

Phone

(406) 449-2116

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 1

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

• Benjamin H Clack, DC

  • Chiropractor
  • Helena, MT
  • NPI 1164590188
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1467626481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 DREDGE DR STE C",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020561",
            "telephone_number": "406-449-2116",
            "fax_number": "406-513-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 DREDGE DR STE C",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020561",
            "telephone_number": "406-449-2116",
            "fax_number": "406-513-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACK CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "CLACK",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-449-2116",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary R. Chronister, PH.D.
• Kyle S Cicero, DPT
• Cindy L Little, LCSW, PC
• Roger Arthur Citron, R.PH.
• Diana Claassen, MD
• Benjamin H Clack, DC
• Amy Lacy Claeys, DDS
• Christian Lee Claeys, DDS
• Kessalyn Rae Clark, LCSW, LAC
• Nicole Christine Clark, MD

• Chiropractor in Helena, MT
• Providers in Helena, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.