Clark Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

917 Issued in OH

Legal business name

CLARK CHIROPRACTIC INC

Practice address

12 W Wenger Rd Ste 6
Englewood, OH 45322-2755

Phone

(937) 836-1288

Fax

(937) 832-1251

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert W Clark, DC

Title

Doctor

Phone

(937) 836-1288

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carter Regula, DC

  • Chiropractor
  • Englewood, OH
  • NPI 1003539966
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1982744264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W WENGER RD STE 6",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222755",
            "telephone_number": "937-836-1288",
            "fax_number": "937-832-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W WENGER RD STE 6",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222755",
            "telephone_number": "937-836-1288",
            "fax_number": "937-832-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "937-836-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Richard Christopher, PT, DPT
• Ramamohan Chunduri, MD
• Rhonda Church, RN
• City of Clayton
• City of Englewood
• Dominque Clark
• Robert W Clark, D.C.
• Steven M Clark
• Sarah Clawson
• Stacey L Coleman

• Chiropractor in Englewood, OH
• Providers in Englewood, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.