Drew Gabriel Clark, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60780308 Issued in WA

Practice address

9100 Silverdale Way NW
Silverdale, WA 98383-8389

Phone

(360) 692-1178

Fax

(360) 692-1210

NPI assigned

Aug 25, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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 WA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark Chiropractic

  • Chiropractor
  • Silverdale, WA
  • NPI 1316959786
  Medicare reassignment NPD
• Clark Chiropractic Silverdale

  • Chiropractor
  • Silverdale, WA
  • NPI 1912852591
  NPD (past) Authorized official

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720505258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 SILVERDALE WAY NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838389",
            "telephone_number": "360-692-1178",
            "fax_number": "360-692-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 SILVERDALE WAY NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838389",
            "telephone_number": "360-692-1178",
            "fax_number": "360-692-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DREW",
        "middle_name": "GABRIEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60780308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CK Chiropractic Office, P.S.
• CK Family Dentitstry
• Leila Elizabeth Clackum
• Clark Chiropractic
• Clark Chiropractic Silverdale
• Stephanie Clark
• Stephen Ned Clark, D.C.
• Clear Creek Dentistry, PLLC (Clear Creek Dentistry)
• Clearbrook Lodge Inc (Northwoods Lodge Pharmacy)
• Tiffin Clegg, MD

• Chiropractor in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.