James A Clark, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

JC002441 Issued in MI

Practice address

28800 W 8 Mile Rd
Ste 5858
Farmington Hills, MI 48336-5906

Phone

(248) 477-5858

Fax

(248) 471-6270

NPI assigned

May 19, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clark Chiropractic Centre

  • Chiropractor
  • Farmington Hills, MI
  • NPI 1184964876
  NPD (past) Authorized official
• Kotila Chiropractic Life Center

  • Chiropractor
  • Bingham Farms, MI
  • NPI 1811910821
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1750334546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28800 W 8 MILE RD",
            "address_2": "STE 5858",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365906",
            "telephone_number": "248-477-5858",
            "fax_number": "248-471-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 W 8 MILE RD",
            "address_2": "STE 5858",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365906",
            "telephone_number": "248-477-5858",
            "fax_number": "248-471-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JC002441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950H252480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Nicole Clark
• Hailey Clark
• Hireshemo Clark
• Jacqueline Clark
• Jamaya Clark
• Jamia Clark
• Jasmine Clark
• Jazimien Clark
• Jerry Clark
• Jessica Clark

• Chiropractor in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.