NPIMap

Organization Active NPI

Clark Chiropractic, L.L.C.

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1588799563
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1322 Issued in LA
Legal business name
CLARK CHIROPRACTIC, L.L.C.
Practice address
854 Kaliste Saloom Rd Ste C
Lafayette, LA 70508-4367
Phone
(337) 232-3353
Fax
(337) 232-9304
NPI assigned
Feb 22, 2007
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Jacob Scott Clark, D.C.NPI 1003864620
Title
Owner
Phone
(337) 232-3353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1322 LA Primary

Addresses

Primary practice location

854 Kaliste Saloom Rd Ste C
Lafayette, LA 70508-4367

Mailing address

854 Kaliste Saloom Rd Ste C
Lafayette, LA 70508-4367
Phone (337) 232-3353

National Provider Directory

National Provider Directory

Locations

1000 Parkview Dr
Ste 23
New Iberia, LA 70563
Phone (337) 367-7463

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1588799563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 KALISTE SALOOM RD STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084367",
            "telephone_number": "337-232-3353",
            "fax_number": "337-232-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 KALISTE SALOOM RD STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084367",
            "telephone_number": "337-232-3353",
            "fax_number": "337-232-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-232-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.