Matthew Clark

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

9647019-1202 Issued in UT

Legal business name

MATTHEW CLARK

Practice address

5250 S Commerce Dr
Suite 155
Murray, UT 84107-7926

Phone

(801) 747-7776

Fax

(385) 800-9999

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Matthew Clark, D.C.NPI 1154787844

Title

Owner

Phone

(801) 747-7776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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.

• Matthew Clark, D.C

  • Chiropractor
  • Murray, UT
  • NPI 1154787844

  UT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1497201370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 S COMMERCE DR",
            "address_2": "SUITE 155",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 S COMMERCE DR",
            "address_2": "SUITE 155",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077926",
            "telephone_number": "801-747-7776",
            "fax_number": "385-800-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW CLARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-747-7776",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "UT",
            "license": "9647019-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Masters, RDN
• Michelle Marie Matheu, M.D.
• Marjorie Jane Mathis, D.O.
• Emily Jane Matis, DPT
• Matthew J. Matson, MD, PHD
• Matthew R. Binns DDS PC
• Brian Paul Matthews, M.D.
• George Morris Matthews, MD
• Makeba Matthews, NP
• Taylor Matthews

• Neurology Chiropractor in Murray, UT
• Providers in Murray, UT by specialty
• Neurology Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.