Clark Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4784 Issued in KY

Legal business name

CLARK CHIROPRACTIC CENTER, LLC

Practice address

507 E Parrish Ave
Owensboro, KY 42303-3126

Phone

(270) 852-9355

Fax

(270) 852-1870

NPI assigned

Mar 9, 2007

Last updated

Nov 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Phillip Clark, D.C.NPI 1063444032

Title

Owner

Phone

(270) 852-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Tax ID family

Clark Chiropractic Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clark Chiropractic Center,LLC

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1053665802
  NPD tax ID

Locations

Practitioners 4

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.

• Aaron P. Clark, D.C.

  • Chiropractor
  • Owensboro, KY
  • NPI 1063444032
  Medicare reassignment Care Compare group NPD Authorized official
• Blakeley Grant Lamar, D.C.

  • Chiropractor
  • Owensboro, KY
  • NPI 1902137375
  Medicare reassignment Care Compare group NPD
• Lindsey Jean, LMT

  • Massage Therapist
  • Owensboro, KY
  • NPI 1376826271
  NPD (past)
• Christi Murphy, LMT

  • Chiropractor
  • Owensboro, KY
  • NPI 1780931998
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1619009438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033126",
            "telephone_number": "270-852-9355",
            "fax_number": "270-852-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033126",
            "telephone_number": "270-852-9355",
            "fax_number": "270-852-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-852-9355",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choice Care Associates, PSC
• Choice Medical Care, PSC
• Christa Flamion
• CK Lewis Enterprises Inc (Bluegrass Apothecary LTC)
• CK Lewis Enterprises Inc (Bluegrass Apothecary)
• Clark Chiropractic Center,LLC
• Sandra Rene Clark Howard, DMD
• Aaron P. Clark, D.C.
• Ann L Clark, MD
• Benjamin Paul Clark, PHARM.D, MPA

• Chiropractor in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.