NPIMap

Organization Active NPI

Mashell Chiropractic Clinic, Inc.

Doing business as Dale E. Clark, D.C., P.S.

  • Health Service Clinic/Center
  • Eatonville, WA
National Provider Identifier
1841567252
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CH0001250 Issued in WA
Legal business name
MASHELL CHIROPRACTIC CLINIC, INC.
Doing business as
Dale E. Clark, D.C., P.S.
Practice address
109 Rainier Ave So
Suite C
Eatonville, WA 98328-0546
Phone
(360) 832-6200
Fax
(360) 832-6201
NPI assigned
Nov 30, 2011
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Dale Eugene Clark, D.C.NPI 1386787398
Title
Owner/President
Phone
(360) 832-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CH0001250 WA Primary

Addresses

Primary practice location

109 Rainier Ave So
Suite C
Eatonville, WA 98328-0546

Mailing address

PO Box 546
109 Rainier Ave So, Ste C
Eatonville, WA 98328-0546
Phone (360) 832-6200

Other names 1

  • Dale E. Clark, D.C., P.S. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1841567252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "address_2": "109 RAINIER AVE SO, STE C",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983280546",
            "telephone_number": "360-832-6200",
            "fax_number": "360-832-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RAINIER AVE SO",
            "address_2": "SUITE C",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983280546",
            "telephone_number": "360-832-6200",
            "fax_number": "360-832-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHELL CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "360-832-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "CH0001250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dale E. Clark, D.C., P.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eatonville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.