Austin Frederick Clarke I, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0008401 Issued in CO

Practice address

1935 E Bijou St
Colorado Springs, CO 80909-5816

Phone

(719) 475-8877

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Colorado Injury & Wellness

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1336993013
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1689243552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 E BIJOU ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095816",
            "telephone_number": "719-475-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 E BIJOU ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095816",
            "telephone_number": "719-475-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "AUSTIN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "draustin@peakfamilychiropractic.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Austin's private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1935 E Bijou St",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809095816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiana Clark
• Tracey Clark, LPC
• Yvonne Clark
• Zanyri Clark
• Asha Clarke
• Charlton Clarke
• Dylan Michael Clarke, DC
• Kathryn Clarke
• Thomas K Clarke, M.D.
• Katelyn Clarkson, LPC, CAC II

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.