CHARLES CLARK JR. D.C.
NPI 1003119272
Chiropractor in Glendale, AZ

Active since December 10, 2010
16222 N 59TH AVE, SUITE A100, GLENDALE, AZ 85306(623) 334-4000(623) 334-4400 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Clark Jr. D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES CLARK JR. D.C. (NPI 1003119272) is an individual chiropractor in Glendale, Arizona, licensed in Arizona (7094) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1003119272
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameCHARLES CLARK JR.Credential: D.C.
Location Address16222 N 59TH AVE, SUITE A100Glendale, AZ 85306-1705
Mailing Address16222 N 59th Ave, Suite A100Glendale, AZ 85306-1705 · (623) 334-4000 · Fax (623) 334-4400
Fax(623) 334-4400
Sole ProprietorNo
Enumeration DateDecember 10, 2010
Last NPPES UpdateFebruary 8, 2017
NPI 1003119272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in AZ · 7094
Definition
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.
16222 N 59TH AVE, Glendale, AZ 85306

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
16222 N 59TH AVE, STE A-100
GLENDALE, AZ 85306
Chiropractor
16222 N 59TH AVE, SUITE A100
GLENDALE, AZ 85306
Internal Medicine
16222 N 59TH AVE, SUITE A100
GLENDALE, AZ 85306
Chiropractor
16222 N 59TH AVE
GLENDALE, AZ 85306
Clinic/Center (Pain)
16222 N 59TH AVE, STE A-100
GLENDALE, AZ 85306
Clinic/Center (Hearing and Speech)
16222 N 59TH AVE, #A-100
GLENDALE, AZ 85306
Chiropractor
16222 N 59TH AVE, SUITE A100
GLENDALE, AZ 85306
Family Medicine
16222 N 59TH AVE, SUITE A100
GLENDALE, AZ 85306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Clark's NPI number?

The NPI number for Charles Clark is 1003119272. It was assigned to this individual provider in the NPPES registry on December 10, 2010.

Where is Charles Clark located?

Charles Clark practices at 16222 N 59th Ave Suite A100, Glendale, AZ 85306. The listed phone number is (623) 334-4000.

What is Charles Clark's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.