Clark Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CLARK FAMILY CHIROPRACTIC INC

Doing business as

Clark Chiropractic Center

Practice address

500 San Juan St
Trinidad, CO 81082-2517

Phone

(719) 845-0001

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By 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

Dr. Eric M Clark, DCNPI 1780751453

Title

Owner Chiropractor

Phone

(719) 845-0001

Specialties & licenses 1

Addresses

Other names 1

• Clark Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 5

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.

• Eric M Clark, D.C.

  • Chiropractor
  • Trinidad, CO
  • NPI 1780751453
  Medicare reassignment NPD Authorized official
• Brittany Ladonna Jauernig, D.C.

  • Chiropractor
  • House Springs, MO
  • NPI 1174054928

  CO

  Medicare reassignment NPD
• Monty Milton McGowen, D.C.

  • Chiropractor
  • Raton, NM
  • NPI 1043362817

  CO

  Medicare reassignment NPD
• Kristy Kay Bennett, D.C.

  • Chiropractor
  • Trinidad, CO
  • NPI 1952499899
  NPD (past)
• Angela Kathryn Bumstead, D.C.

  • Chiropractor
  • Trinidad, CO
  • NPI 1437282068
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629281001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SAN JUAN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822517",
            "telephone_number": "719-845-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SAN JUAN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822517",
            "telephone_number": "719-845-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "719-845-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charla Swift, LLC
• Charles F Yeagle, MD, PC
• Joyce Chavez, MT
• Charla A Chenoweth-Swift, LCSW
• Gerald Anthony Cichocki, M.D.
• Eric M Clark, D.C.
• Cobigred Inc (Hometown Pharmacy and Medical)
• Collective Healing Institute
• Colorado Occupational and Lymphedema Therapy LLC
• Comprehensive Dentistry PC

• Chiropractor in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.