Clark Family Chiropractic and Wellness Center LLC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

3920 Issued in OK

Legal business name

CLARK FAMILY CHIROPRACTIC AND WELLNESS CENTER LLC

Practice address

804 S.E. 3Rd St.
Stigler, OK 74462

Phone

(918) 617-7738

NPI assigned

Sep 3, 2013

Organization subpart

No

Name

Dr. Michael Ray Clark

Title

Chiropractor

Phone

(918) 617-7738

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2013.

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1972937464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S.E. 3RD ST.",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "74462",
            "telephone_number": "918-617-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S.E. 3RD ST.",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "74462",
            "telephone_number": "918-617-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK FAMILY CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-617-7738",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "OK",
            "license": "3920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Catron
• Jennifer Martin Chapman
• Samuel James Leon Chapman
• Choctaw Nation of Oklahoma
• Choctaw Nation of Oklahoma
• Gina Clark, DO
• Michael R Clark, DC
• Gwendolyn E Climpson
• Allysha Coble
• Jackson T Cole

• All providers in Stigler, OK
• Orthopedic Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.