Joseph C. Clark, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4016 Issued in OK

Practice address

803 N Foreman St
Vinita, OK 74301-1435

Phone

(918) 256-5111

Fax

(918) 256-5222

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Green Country Spine & Sport, PLLC

  • Chiropractor
  • Vinita, OK
  • NPI 1942586706
  Medicare reassignment NPD Authorized official
• Harry W. Brown, Inc.

  • Chiropractor
  • Savannah, GA
  • NPI 1225058639
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1750304481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743010248",
            "telephone_number": "918-256-5111",
            "fax_number": "918-256-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N FOREMAN ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743011435",
            "telephone_number": "918-256-5111",
            "fax_number": "918-256-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JOSEPH",
        "middle_name": "C.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007743",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "OKAAA2679",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelbee Marie Christie, BACHELOR OF ARTS
• Jackie Ellen Chuculate
• Justin Lynn Cicotte
• City of Sapulpa (Heartsworth Senior Living)
• Amanda Kay Clark Nieblas
• Michelle L Clift, DMD
• Steven Ray Coatney
• Tiffany A Cody
• Deborah Bridgit Collins
• Community Health Center of Northeast Oklahoma (Allensworth Community Health Center)

• Chiropractor in Vinita, OK
• Providers in Vinita, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.