CLARK CHIROPRACTIC CENTER, INC. (NPI# 1740476753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740476753 |
| Entity Type | Organization |
| Organization Name | CLARK CHIROPRACTIC CENTER, INC. |
| Practice Address |
418 E Diamond Ave Gaithersburg MD 20877-3018 |
| Practice Telephone | 3019261500 |
| Practice Fax Number | 3019260462 |
| Mailing Telephone | 3019261500 |
| Mailing Fax Number | 3019260462 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2015-03-06 |
| Authorized Official Name | DR. STEVEN E CLARK (PRESIDENT/CEO) |
| Authorized Official Telephone | 3019261500 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S01464 | MD | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710025200 | Clark Chiropractic Center, Inc. | Chiropractor | 4639 Mountain Rd, Pasadena, MD 21122-5455 | 2007-02-05 |
| Street Address |
418 E DIAMOND AVE |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508485525 | Aaa Lumbar Chiropractic LLC | Chiropractor | 418 E Diamond Ave, Gaithersburg, MD 20877-3018 | 2020-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262281 | Matthew Tilkin | Chiropractor | 18310 Montgomery Village Ave Ste 120, Gaithersburg, MD 20879-3556 | 2019-08-30 |
| 1023441540 | Cheng Tan | Chiropractor | 18514 Office Park Dr, Montgomery Village Ave, Gaithersburg, MD 20886-0585 | 2013-08-20 |
| 1336480888 | Sangbum Joo | Chiropractor | 101 Lakeforest Blvd Ste 395, Gaithersburg, MD 20877-2611 | 2013-03-08 |
| 1134478407 | Adjei Mensah | Chiropractor | 1 Whetstone Dr, Gaithersburg, MD 20877-2729 | 2012-09-02 |
| 1902160898 | Acute Spine Therapy & Rehab, LLC | Chiropractor | 20 Montgomery Village Ave, Suite A, Gaithersburg, MD 20879-3581 | 2012-06-26 |
| 1205116159 | Life Chiropractic of Gaithersburg | Chiropractor | 461 S Frederick Ave, Gaithersburg, MD 20877-2326 | 2011-08-24 |
| 1417246463 | Jung Eun Choi | Chiropractor | 481 N Frederick Ave Ste 230, Gaithersburg, MD 20877-2471 | 2011-03-30 |
| 1750609160 | Chiropractic and Wellness Center.inc | Chiropractor | 438 N Frederick Ave Ste 435, Gaithersburg, MD 20877-2562 | 2010-05-10 |
| 1538372008 | Grace E Lohr | Chiropractor | 15968 Shady Grove Road, Gaithersburg, MD 20877 | 2007-05-08 |
| 1568680924 | James Alexander White | Chiropractor | 18215 Flower Hill Way Ste A, Gaithersburg, MD 20879-5393 | 2007-04-23 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.