Jack J. Clark, D.c.p.c.

ActiveOrganizationChiropractic
NPI issued: May 15, 2007

Quick Facts

NPI Number
1083820302
TypeOrganization
StatusActive
SpecialtyChiropractic
Taxonomy111NR0400X — Chiropractic
Phone
(260) 486-1886
StateIN

NPI Validation Status: Verified

Valid 10-digit NPI number (1083820302)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 15, 2007)
Data source: CMS NPPES

Provider Overview

JACK J. CLARK, D.C.P.C. is a Chiropractic provider based in Fort Wayne, IN who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083820302
Provider TypeOrganization
StatusActive
Enumeration DateMay 15, 2007

Practice Location

CityFort Wayne
StateIN
ZIP Code46815-7638
Phone(260) 486-1886

Specialties & Licenses

★ Primary
SpecialtyChiropractic
Taxonomy Code111NR0400X
License StateIN

Mailing Address

CityFort Wayne
StateIN
ZIP Code46815-7638
Phone(260) 486-1886
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1083820302 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1083820302for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083820302 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Chiropractic

Specialists in Chiropractic provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
3,616
Chiropractic Providers in the US

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People Also Ask

What is Jack J. Clark, D.c.p.c.'s NPI number?
Jack J. Clark, D.c.p.c.'s NPI number is 1083820302, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack J. Clark, D.c.p.c.'s NPI currently active?
Yes, Jack J. Clark, D.c.p.c.'s NPI status is Active as of the latest CMS NPPES database updates.
What does Jack J. Clark, D.c.p.c. specialize in?
Jack J. Clark, D.c.p.c. specializes in Chiropractic. The healthcare taxonomy code associated with this specialty is 111NR0400X.
Where does Jack J. Clark, D.c.p.c. practice?
Jack J. Clark, D.c.p.c. practices in Fort Wayne, IN 46815-7638.
When was Jack J. Clark, D.c.p.c.'s NPI issued?
Jack J. Clark, D.c.p.c.'s NPI was issued on May 15, 2007.
What is Jack J. Clark, D.c.p.c.'s provider type?
Jack J. Clark, D.c.p.c. is registered as an Organization under CMS NPI Type 2.