Individual provider Active NPI

Damian Allen Clarke, D.C.

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1558517201
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7343 Issued in AZ
Practice address
6445 S 12TH Ave
Ste 151
Tucson, AZ 85706-7680
Phone
(520) 294-6200
Fax
(520) 294-6201
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7343 AZ Primary

Addresses

Primary practice location

6445 S 12TH Ave
Ste 151
Tucson, AZ 85706-7680

Mailing address

6445 S 12TH Ave
Ste 151
Tucson, AZ 85706-7680
Phone (520) 294-6200

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Chiropractic St. Mary'S LLC Chiropractor Past Accepting new patients
First Chiropractic - Prince LLC Chiropractor Past Accepting new patients
First Chiropractic - Oracle LLC Chiropractor Past Accepting new patients
Timothy J Citro DC PLLC Chiropractor Past Accepting new patients
Timothy J Citro DC PLLC Chiropractor Past Accepting new patients
First Chiropractic Valencia LLC Chiropractor PastSince Dec 30, 2015 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1558517201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 S 12TH AVE",
            "address_2": "STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857067680",
            "telephone_number": "520-294-6200",
            "fax_number": "520-294-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 S 12TH AVE",
            "address_2": "STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857067680",
            "telephone_number": "520-294-6200",
            "fax_number": "520-294-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "DAMIAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.