Clark Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1063 Issued in ME

Legal business name

CLARK CHIROPRACTIC, INC.

Doing business as

Clark Chiropractic Center, Inc.

Practice address

28 Clinton Ave Ste 2
Winslow, ME 04901-7076

Phone

(207) 873-0904

Fax

(207) 873-0904

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Dean Clark, D.C.

Title

President

Phone

(207) 873-0904

Specialties & licenses 1

Addresses

Other names 1

• Clark Chiropractic Center, Inc. Doing business as

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1831364223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CLINTON AVE STE 2",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049017076",
            "telephone_number": "207-873-0904",
            "fax_number": "207-873-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CLINTON AVE STE 2",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049017076",
            "telephone_number": "207-873-0904",
            "fax_number": "207-873-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-873-0904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Chiropractic Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Delia Bonzey
• Kelsea P Bouchard
• Richard D Browning Jr., MSPT
• Robin Cameron, RNC
• CFHC PC
• Robert Dean Clark, D.O.
• Sudhir Dabbas
• Kimberly Dorval
• Dr Kimberly J. Bailey (Chiropractic Family Health Center)
• Erica Dumont

• Chiropractor in Winslow, ME
• Providers in Winslow, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.