Dane Edward Clark, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009240 Issued in NY

Practice address

4 5TH Ave
Newburgh, NY 12550-2716

Phone

(845) 566-1333

Fax

(845) 229-4351

NPI assigned

Jan 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861547721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GARDNERTOWN RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501665",
            "telephone_number": "845-566-1333",
            "fax_number": "845-229-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 5TH AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502716",
            "telephone_number": "845-566-1333",
            "fax_number": "845-229-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DANE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Ciaffone, N.P.
• Anthony J Cioffi, RPH
• Clapper Chiropractic, PC
• Alfred E Clapper Jr.
• Chekira Clark
• Sophea Mari Clarke, OTR/L
• Clear Quest (Jules Vision Center)
• Edward C Clearwater, DPT
• Theresa Marie Clearwater, FNP
• Magdalena Clemente

• Chiropractor in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.