Clark Clinical Consulting LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CLARK CLINICAL CONSULTING LLC

Doing business as

CC Chiropractic Health & Wellness Telehealth

Practice address

10926 David Taylor Dr Ste 120
Charlotte, NC 28262-0039

Phone

(704) 266-3250

Fax

(704) 266-3250

NPI assigned

Sep 2, 2020

Last updated

Sep 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deirdre V Clark, DC, NDNPI 1053615989

Title

Ceo

Phone

(704) 266-3250

Specialties & licenses 1

Addresses

Other names 1

• CC Chiropractic Health & Wellness Telehealth Doing business as

Practitioners 1

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.

• Deirdre V Clark, DC, ND, CHT, CCRA

  • Chiropractor
  • Charlotte, NC
  • NPI 1053615989
  Authorized official Same address or phone

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1932713401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 DAVID TAYLOR DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620039",
            "telephone_number": "704-266-3250",
            "fax_number": "704-266-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10926 DAVID TAYLOR DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620039",
            "telephone_number": "704-266-3250",
            "fax_number": "704-266-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CLINICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-266-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ND"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CC Chiropractic Health & Wellness Telehealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clara Lucia Nunez-Romero, DDS PLLC (Dentist-Salud)
• Timothy Patrick Clare, D.C.
• Clarity Counseling Services, Inc.
• Clarity Health DPC, PLLC
• Clarity Home Health Care
• Veronica Marie Clark-George
• Jasmine Clark-Oliver, LPC
• Abigail Rose Clark
• Amy Wilson Clark, NP
• Brittany Alexis Clark, MSW

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.