DR. DAVID B CLARK (NPI# 1619049327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619049327 |
| Entity Type | Individual |
| Full Name | DR. DAVID B CLARK |
| Credential | DC, DABCI, NMD |
| Practice Address |
106 Se 12th St Oak Grove MO 64075-9538 |
| Mailing Address |
Po Box 126 Oak Grove MO 64075-0126 |
| Practice Telephone | 8166254497 |
| Practice Fax Number | 8166905900 |
| Mailing Telephone | 8166254497 |
| Mailing Fax Number | 8166905900 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
CE004079 | MO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1447333539 | David J Clark | Dentist | 3402 S 38th St, Tacoma, WA 98409-4638 | 2006-10-23 |
| Street Address |
106 SE 12TH ST |
| City | OAK GROVE |
| State | MO |
| Zip Code | 64075-9538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703863 | Samantha Jo Castlebury | Nurse Practitioner | 302 Se Salem, Oak Grove, MO 64075 | 2018-03-16 |
| 1629524574 | Brandon Notz | Registered Nurse | 509 Se Oak Ridge Dr., Unit A, Oak Grove, MO 64075 | 2016-08-31 |
| 1528468691 | Beacon of Hope Hospice of Missouri, Inc. | Hospice Care, Community Based | 1201c South Broadway, Oak Grove, MO 64075 | 2014-08-26 |
| 1043580194 | Crossroads Behavioral Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1611 Deer Run Rd., Oak Grove, MO 64075 | 2012-01-06 |
| 1861559734 | Patricia Ann Bettels Rhodes | Dentist | 2016 S Broadway, Oak Grove, MO 64075 | 2007-01-02 |
| 1922104447 | Elaine K Akin | Nurse Practitioner | 1900 S Broadway, Box 670, Oak Grove, MO 64075 | 2006-09-15 |
| 1598873911 | Amber Troyer | Optometrist | 201 S Salem, Oak Grove, MO 64075 | 2006-08-26 |
| 1104916337 | Ogmc LLC | Clinic/Center | 1900 S Broadway, Oak Grove, MN 64075 | 2006-10-16 |
| 1649376161 | Joyce E Peterson | Nurse Practitioner | 1900 S Broadway, Box 670, Oak Grove, MO 64075 | 2006-09-15 |
| 1518949031 | John Thomas Haller | Chiropractor | 105 Sw 12th St, Oak Grove, MO 64075-0957 | 2005-11-18 |
| Find all providers in zip 64075 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356856330 | Cheryl K Becker | Chiropractor | 2870 Ne Kendallwood Pkwy, Ste B, Gladstone, MO 64119-2026 | 2017-12-12 |
| 1144463928 | Travis Michael Kershner | Chiropractor | 101 N Lyons St, Butler, MO 64730-2131 | 2009-04-09 |
| 1265692909 | Eckert Chiropractic Center P.C. | Chiropractor | 1298a W Foxwood Dr, Raymore, MO 64083-8303 | 2008-06-16 |
| 1376662460 | Stephen Henry Herbst | Chiropractor | 206 Ash Street, Van Buren, MO 63965 | 2007-03-28 |
| 1285762997 | Raymond Vincent Satterwhite | Chiropractor | 5008 Ne 45th Ter, Kansas City, MO 64117-1944 | 2007-03-02 |
| 1851492292 | Raymond Lee Vasquez | Chiropractor | 1631 Ne Douglas St, Lees Summit, MO 64086-4701 | 2006-09-26 |
| 1366465007 | Jeremy Dwain Thornton | Chiropractor | 205 South St., Stockton, MO 65785-1028 | 2006-07-25 |
| 1720006950 | Terry Jo Nelson | Chiropractor | 114 W Gregory Blvd, #4, Kansas City, MO 64114-1148 | 2006-07-17 |
| 1023066073 | Joseph Timothy Lane | Chiropractor | 604 E. Lockwood, Webster Groves, MO 63119-3219 | 2006-05-04 |
| 1679578306 | Thomas W. Brown | Chiropractor | 829 East State, Mtn. Grove, MO 65711-0528 | 2005-06-17 |
| 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.