Joshua Clark, D.C
Individual provider Active NPI Chiropractor · Sebastian, FL
NPI 1922594472 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1922594472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH12484 (FL)
- Practice address
- 709 Sebastian Blvd Ste F
Sebastian, FL 32958-8704 - Phone
- (772) 202-7236
- NPI assigned
- Jul 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clark Chiropractic and Wellness PLLC
Practice addresses (Care Compare)
709 Sebastian Blvd
Suite F
Sebastian, FL 32958-8704
Phone (772) 202-7236
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240513000850 | FL | Practitioner - Chiropractic | 0042651713 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Chiropractic and Wellness PLLC | Chiropractor | Current |
Accepting new patients |
Locations
709 Sebastian Blvd
Ste F
Sebastian, FL 32958
Phone (772) 202-7236
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12484 | FL | Yes |
Addresses
Primary practice location
709 Sebastian Blvd Ste F
Sebastian, FL 32958-8704
Mailing address
709 Sebastian Blvd Ste F
Sebastian, FL 32958-8704
Phone (772) 202-7236
Other practice location 1
1620 S Clyde Morris Blvd
Daytona Beach, FL 32119-9020
Phone (386) 944-9740
Other providers in Sebastian, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.