Active NPI
Morgan Anita Cark, DC
- Chiropractor
- Eureka, CA
National Provider Identifier
1831755404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34536
- Practice address
- 1459 Myrtle Ave
Eureka, CA 95501-1304 - Phone
- (352) 445-9287
- Fax
- (707) 442-1084
- NPI assigned
- May 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34536 | CA | Primary |
Addresses
Primary practice location
1459 Myrtle Ave
Eureka, CA 95501-1304
Mailing address
1459 Myrtle Ave
Eureka, CA 95501-1304
Phone (352) 445-9287
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.carkchiroclinic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210408000644 | DC | Practitioner - Chiropractic | 4981938982 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34536 | CA | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duncan Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Koopmans Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Eureka, CA
- NPI 1508205824
-
- Chiropractor
- Eureka, CA
- NPI 1801971437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558224000000",
"number": "1831755404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 MYRTLE AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011304",
"telephone_number": "352-445-9287",
"fax_number": "707-442-1084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1459 MYRTLE AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011304",
"telephone_number": "352-445-9287",
"fax_number": "707-442-1084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARK",
"first_name": "MORGAN",
"middle_name": "ANITA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-19",
"last_updated": "2019-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34536",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.carkchiroclinic.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1459 Myrtle Ave",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955011304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.