Michael Scott Clark, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6204897-1202 Issued in UT

Practice address

380 E Main St
Suite E
Lehi, UT 84043-2228

Phone

(801) 768-2939

Fax

(801) 768-2955

NPI assigned

Nov 14, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Escalon Physical Medicine, Inc

  dba Modesto Physical Medicine

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1821417866
  Medicare reassignment NPD
• Andersen Family Chiropractic PC

  • Chiropractor
  • Lehi, UT
  • NPI 1205076767
  NPD (past)
• Connect Chiropractic LLC

  dba Haderlie Chiropractic

  • Chiropractor
  • Lehi, UT
  • NPI 1598069627
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710059035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E MAIN ST",
            "address_2": "SUITE E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432228",
            "telephone_number": "801-768-2939",
            "fax_number": "801-768-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E MAIN ST",
            "address_2": "SUITE E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432228",
            "telephone_number": "801-768-2939",
            "fax_number": "801-768-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6204897-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Christopherson
• Circle of Life Counseling Center
• Circle of Life Counseling Center, LLC
• Jessica Lynn Clark
• Lauren Clark
• Spenser Clark
• Morgan Leslie Clawson
• Eden Clegg
• Jonathan R Clement
• Joshua Cluff

• Chiropractor in Lehi, UT
• Providers in Lehi, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.