Individual provider Active NPI

Clark Raymond Eckert, D.C.

  • Chiropractor
  • Oak Ridge, TN
National Provider Identifier
1669798450
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2431 Issued in TN
Practice address
1062 Oak Ridge Tpke Ste B
Oak Ridge, TN 37830-6479
Phone
(865) 220-8499
NPI assigned
Apr 19, 2010
Last updated
Nov 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2431 TN Primary

Addresses

Primary practice location

1062 Oak Ridge Tpke Ste B
Oak Ridge, TN 37830-6479

Mailing address

1062 Oak Ridge Tpke Ste B
Oak Ridge, TN 37830-6479
Phone (865) 220-8499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000709 TN Practitioner - Chiropractic 0547385932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eckert Chiropractic CenterGroup PAC ID 7911022306, 2 clinicians

Practice addresses (Care Compare)

1062 Oak Ridge Tpke
Oak Ridge, TN 37830-6479
Phone (865) 220-8499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2431TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eckert Chiropractic Center Chiropractor CurrentSince Jun 7, 2010 Accepting new patients

Locations

1062 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 220-8499

1062 Oak Ridge Tpke
Ste B
Oak Ridge, TN 37830
Phone (865) 220-8499

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1669798450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 OAK RIDGE TPKE STE B",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306479",
            "telephone_number": "865-220-8499",
            "fax_number": "865-272-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 OAK RIDGE TPKE STE B",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306479",
            "telephone_number": "865-220-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "CLARK",
        "middle_name": "RAYMOND",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.