Ronald Frederick Clark

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000210 Issued in CT

Practice address

5 Newington Road
West Hartford, CT 06110-2310

Phone

(860) 236-3364

Fax

(860) 236-3364

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588762801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NEWINGTON ROAD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102310",
            "telephone_number": "860-236-3364",
            "fax_number": "860-236-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NEWINGTON ROAD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102310",
            "telephone_number": "860-236-3364",
            "fax_number": "860-236-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RONALD",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04046611",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050000210CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Cirtu, D.M.D.
• Cindy Claffey, M.S., LCSW
• Robert Douglas Claflin, DC DABCO
• Clarity Cove Counseling & Consulting PLLC
• Eva Clark, COTA
• Arlene Clarke, LPN
• Maribel Claudio, MS, LPC
• Clear Life Counseling, LLC
• Clementine Counseling
• Jessica Clemmenson, OTR/L

• Chiropractor in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.