CLARK CHIROPRACTIC CLINIC (NPI# 1952555211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952555211 |
Entity Type | Organization |
Organization Name | CLARK CHIROPRACTIC CLINIC |
Practice Address |
6301 Eastridge Rd Odessa TX 79762-5045 |
Practice Telephone | 4323375553 |
Practice Fax Number | 4323376183 |
Mailing Telephone | 4323375553 |
Mailing Fax Number | 4323376183 |
Enumeration Date | 2008-11-12 |
Last Update Date | 2008-11-12 |
Authorized Official Name | MR. JAMES WILLIAM KIRK (PRESIDENT/CEO) |
Authorized Official Telephone | 4323375553 |
Authorized Official Credential | D C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | 8532 | TX | Chiropractic Providers |
N | 111N00000X | Chiropractor | 7347 | TX | Chiropractic Providers |
N | 111N00000X | Chiropractor | 2256 | TX | Chiropractic Providers |
Y | 111N00000X | Chiropractor | 5928 | TX | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447798830 | Clark Chiropractic Clinic | Chiropractor | 17422 108th Ave Se, Renton, WA 98055-5400 | 2017-02-06 |
Street Address |
6301 EASTRIDGE RD |
City | ODESSA |
State | TX |
Zip Code | 79762-5045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609226042 | Jordan Elizabeth Brown | Chiropractor | 6301 Eastridge Rd, Odessa, TX 79762-5045 | 2016-06-16 |
1356583843 | Michael C Terry | Chiropractor | 6301 Eastridge Rd, Odessa, TX 79762-5045 | 2009-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
Find all providers in zip 79762 |
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 |
---|---|---|---|---|
1174148050 | 100 Percent Chiropractic Ronmartin LLC | Chiropractor | 15989 Preserve Marketplace Blvd, Odessa, FL 33556-5509 | 2020-06-16 |
1366741134 | Christopher D Cummins | Chiropractor | 8615 Andrews Hwy, Odessa, TX 79765-2834 | 2011-03-19 |
1215234414 | Mason Ryan Steen | Chiropractor | 3110 E. University, Suite B, Odessa, TX 79762 | 2011-02-24 |
1356642102 | Ronald Bernard Martin Jr. | Chiropractor | 15993 Preserve Marketplace Blvd, Odessa, FL 33556-5509 | 2010-11-10 |
1790914620 | Michele Gene Munoz | Chiropractor | 8050 E Highway 191 Ste 202, Odessa, TX 79765-8615 | 2009-07-13 |
1831375781 | Defrance, Inc. | Chiropractor | 3110 E University Blvd Ste B, Odessa, TX 79762-6955 | 2008-01-10 |
1013139153 | The Ftb Group, Inc. | Chiropractor | 421 N 1st St, Suite C, Odessa, MO 64076-5242 | 2007-05-02 |
1659406502 | Odessa Chiropractic Association, P.a. | Chiropractor | 1607 E 8th St, Odessa, TX 79761-4806 | 2007-02-22 |
1619012366 | Gerald Ray Beaty | Chiropractor | 2100 N Grandview, Odessa, TX 79761 | 2007-02-20 |
1700931805 | Mark D Mehaffey | Chiropractor | 1020 N Grandview Ave, Odessa, TX 79761 | 2007-01-25 |
Find all providers in ODESSA |
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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.