Ross Myracle Clark, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

D.C. 2356 Issued in TN

Practice address

1307 W Reelfoot Ave
Union City, TN 38261-5505

Phone

(731) 885-0461

NPI assigned

Jul 28, 2009

Last updated

Aug 5, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: align@acp0011.direct.chirotouch.md

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.

• Align Chiropractic, PLLC

  • Chiropractor
  • Union City, TN
  • NPI 1093022600
  Medicare reassignment NPD Authorized official
• Align Chiropractic of Mayfield PLLC

  • Chiropractor
  • Mayfield, KY
  • NPI 1700605763
  NPD
• Green Hills Chiropractic Clinic

  • Chiropractor
  • Nashville, TN
  • NPI 1639182504
  NPD (past)
• West Tennessee Orthopaedics and Sports Medicine, PC

  • Orthopaedic Surgery Physician
  • Union City, TN
  • NPI 1821325424
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1700017571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615505",
            "telephone_number": "731-885-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615505",
            "telephone_number": "731-885-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ROSS",
        "middle_name": "MYRACLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "D.C. 2356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1093022600",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Edna Carriere
• Deborah J Chivers, R.N.
• Laken Brooke Clanton, NP-C
• Franklin Clark, D.D.S.,P.C.
• Laura Marie Clark, DDS
• John B Clendenin, M.D.
• Greg Coleman, OT
• Kevin B Collins, MD
• Ansley R Copper
• County of Obion

• Chiropractor in Union City, TN
• Providers in Union City, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.