Organization Active NPI

Clark Chiropractic and Rehabilitation, LLC

  • Chiropractor
  • Lafayette, IN
National Provider Identifier
1881028421
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002699A Issued in IN
Legal business name
CLARK CHIROPRACTIC AND REHABILITATION, LLC
Practice address
12 Elston Road
Lafayette, IN 47909-2899
Phone
(765) 477-7707
NPI assigned
Aug 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Dr. Joseph Rogers, D.C.
Title
Oqner/Chiropractor
Phone
(812) 282-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002699A IN Primary

Addresses

Primary practice location

12 Elston Road
Lafayette, IN 47909-2899

Mailing address

12 Elston Road
Lafayette, IN 47909-2899
Phone (765) 477-7707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1881028421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELSTON ROAD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092899",
            "telephone_number": "765-477-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELSTON ROAD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092899",
            "telephone_number": "765-477-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHIROPRACTIC AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-31",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OQNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "812-282-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002699A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.