DR. DONALD C CLARK (NPI# 1437278942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437278942 |
| Entity Type | Individual |
| Full Name | DR. DONALD C CLARK |
| Credential | DC |
| Practice Address |
4660 Slater Rd Ste 140 Eagan MN 55122-4049 |
| Practice Telephone | 6514546367 |
| Practice Fax Number | 6514548577 |
| Mailing Telephone | 6514546367 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 1721 | MN | Chiropractic Providers |
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
1721 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 645527100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710391875 | Donald Callan Clark | Anesthesiology | 7585 El Paso St, La Mesa, CA 91942-4302 | 2014-06-17 |
| 1124282538 | Donald Eugene Clark | Community Health Worker | 5117 Tarrywood Ln, Charlotte, NC 28205-4827 | 2008-07-15 |
| 1083773931 | Donald Wayne Clark | Family Medicine | 801 Vassar Ne, Albuquerque Indian Health Center, Albuquerque, NM 87106 | 2006-12-06 |
| 1386669570 | Donald Godfrey Clark | Internal Medicine | 29521 Ford Rd, Garden City, MI 48135 | 2006-07-12 |
| 1487635132 | Donald L Clark | Psychologist | 428 Coffey Knob Rd, Boone, NC 28607-6608 | 2005-11-09 |
| 1366090573 | Donald Lee Clark IIi | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2019-08-30 |
| 1023588423 | Donald James Clark | Counselor | 100 New Salem Rd Ste 116, Uniontown, PA 15401-8936 | 2018-11-28 |
| 1447659701 | Donald Clark | Pharmacist | 6725 Dick Flynn Blvd, Goshen, OH 45122-8025 | 2014-08-22 |
| 1891102810 | Donald Keith Clark | Case Manager/Care Coordinator | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2014-07-22 |
| 1699057943 | Donald Patrick Clark Jr. | Pharmacist | 1475 Dixie Hwy, Louisville, KY 40210-1767 | 2011-09-13 |
| Street Address |
4660 SLATER RD STE 140 |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790114049 | Joshua Wallert | Chiropractor | 4490 Erin Dr, Eagan, MN 55122 | 2013-11-07 |
| 1710014311 | Anthony Spurrill | Chiropractor | 4480 Erin Dr, Eagan, MN 55122-2357 | 2007-02-28 |
| 1285761825 | Center for Health & Healing Inc | Chiropractor | 4480 Erin Dr, Eagan, MN 55122-2357 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523303 | Cody J Dessellier | Chiropractor | 1539 E 7th St, Monticello, MN 55362-4674 | 2019-11-19 |
| 1396221966 | Northern Hope Functional Neurology and Chiropractic | Chiropractor | 25503 Main St, Nisswa, MN 56468-5000 | 2018-07-16 |
| 1609373372 | Joshua Campbell Sweeney | Chiropractor | 6133 Blue Circle Dr Ste 100, Minnetonka, MN 55343-9173 | 2018-04-10 |
| 1083923460 | Pietila Chiropractic | Chiropractor | 12358 River Ridge Blvd, Burnsville, MN 55337-1665 | 2010-10-01 |
| 1205047800 | Robert Joel Gustafson | Chiropractor | 2215 2nd St Sw, Suite 140, Rochester, MN 55902-4147 | 2007-05-24 |
| 1720110737 | John William Petersen | Chiropractor | 12000 Elm Creek Blvd N Ste L70, Maple Grove, MN 55369-7167 | 2007-03-12 |
| 1710020698 | Michelle Eddy | Chiropractor | 141 E Broadway St # 4, Monticello, MN 55362-9322 | 2007-02-14 |
| 1346388261 | Rashid Ali Hassen | Chiropractor | 1113 E Franklin Ave, Suite 101, Minneapolis, MN 55404-2974 | 2007-02-02 |
| 1861539777 | Kenwood Merlyn Rund | Chiropractor | 1123 Hennepin Ave, Glencoe, MN 55336-2206 | 2007-01-31 |
| 1770638520 | John Robert Pietila | Chiropractor | 12376 River Ridge Blvd, Burnsville, MN 55337-1665 | 2007-01-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.