Lewis Martin Clark, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC5922 Issued in TX

Practice address

23464 FM 1314 Rd
Porter, TX 77365-3710

Phone

(281) 354-8330

Fax

(281) 354-5592

NPI assigned

Apr 4, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1740302280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23464 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653710",
            "telephone_number": "281-354-8330",
            "fax_number": "281-354-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23464 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653710",
            "telephone_number": "281-354-8330",
            "fax_number": "281-354-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LEWIS",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "603654",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Cheramie, PHARMD
• Robert Cheruiyot
• Teressa F Chustz, PT
• Citywide LLC (SmartMed DME Suppliers)
• Heather J Clark, M.S., CCC-SLP
• Yanira Concepcion Hernandez, FNP
• Ashlan Cornett, LPC ASSOCIATE
• Jennifer Corso
• Courtland Care Communities LLC
• CVS Pharmacy Inc (CVS Pharmacy #07435)

• Chiropractor in Porter, TX
• Providers in Porter, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.