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DR. JACOB SCOTT CLARK D.C.
NPI 1003864620
Chiropractor in Lafayette, LA

Active since May 05, 2006Accepts Medicare Assignment
854C KALISTE SALOOM RD, LAFAYETTE, LA 70508(337) 232-3353(337) 232-9304 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Scott Clark D.c. NPPES

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

DR. JACOB SCOTT CLARK D.C. (NPI 1003864620) is an individual chiropractor in Lafayette, Louisiana, licensed in Louisiana (1322) and active in the NPI registry since May 2006. He is a graduate of Other (2003).

NPPES Registry Identity

NPI1003864620
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACOB SCOTT CLARKCredential: D.C.
Location Address854C KALISTE SALOOM RDLafayette, LA 70508-4210
Mailing Address854c Kaliste Saloom RdLafayette, LA 70508-4210 · (337) 232-3353 · Fax (337) 232-9304
Phone(337) 232-3353
Fax(337) 232-9304
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 5, 2006
Last NPPES UpdateMay 2, 2008
✔ NPI 1003864620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in LA · 1322
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.
854C KALISTE SALOOM RD, Lafayette, LA 70508
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Other Identifiers 2

Medicare UPINU97711LA
Medicare PIN4C889CT32LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Scott Clark D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648171371
PECOS Enrollment IDI20040116000045

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
111 services28 patients

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 Jacob Clark's NPI number?

The NPI number for Jacob Clark is 1003864620. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Jacob Clark located?

Jacob Clark practices at 854C Kaliste Saloom Rd, Lafayette, LA 70508. The listed phone number is (337) 232-3353.

What is Jacob Clark's specialty?

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

Is Jacob Clark enrolled in Medicare?

Yes. Jacob Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Clark accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Jacob Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Clark was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.