Drew-Montez Clark, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10720 Issued in FL

Practice address

26731 Dublin Woods Cir Ste 2
Bonita Springs, FL 34135-7271

Phone

(239) 200-7248

NPI assigned

Aug 23, 2011

Last updated

Oct 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrative Medicine & Rehab LLC

  • Clinic/Center
  • Fort Myers, FL
  • NPI 1699424374
  Medicare reassignment NPD
• Arc of Life Family Spinal Care LLC

  • Health Service Clinic/Center
  • Bonita Springs, FL
  • NPI 1427484252
  Authorized official Same address or phone
• Carolina Upper Cervical Clinic, Inc.

  • Chiropractor
  • Charlotte, NC
  • NPI 1497796890
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1982984969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26731 DUBLIN WOODS CIR STE 2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26731 DUBLIN WOODS CIR STE 2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357271",
            "telephone_number": "239-200-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DREW-MONTEZ",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4152",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "10720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Karin Cespedes, LCSW-S, LISW-S
• Priscilla Chambers
• Lori Chang, PSY.D.
• Sarah Churton, M.D.
• Caley Cinelli
• Kanema Clark, DC
• Coast Dental P.a. (Coast Dental-Bonita Springs)
• Coastal Chiropractic Health Solutions PLLC
• Nathan Alexander Colby
• Steven P Coleman, D.O.

• Chiropractor in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.