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DR. DEIRDRE V CLARK DC, ND, CHT, CCRA
NPI 1053615989
Chiropractor in Charlotte, NC

Active since January 06, 2011PECOS Enrolled
10926 DAVID TAYLOR DR STE 120, CHARLOTTE, NC 28262(704) 266-3250 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2020, Mar 6, 2020, Jan 13, 2020 (3 updates tracked since 2020).

About Dr. Deirdre V Clark Dc, Nd, Cht, Ccra NPPES

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

DR. DEIRDRE V CLARK DC, ND, CHT, CCRA (NPI 1053615989) is an individual chiropractor in Charlotte, North Carolina, licensed in North Carolina (5172) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mount Laurel.

NPPES Registry Identity

NPI1053615989
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. DEIRDRE V CLARKCredential: DC, ND, CHT, CCRA
Location Address10926 DAVID TAYLOR DR STE 120Charlotte, NC 28262-1042
Mailing Address10926 David Taylor Dr Ste 120Charlotte, NC 28262-0039 · (704) 266-3250
Phone(704) 266-3250
Sole ProprietorYes
Enumeration DateJanuary 6, 2011
Last NPPES UpdateAugust 27, 20203 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1053615989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 5172
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.
Also ListedChiropractor · Independent Medical ExaminerTaxonomy 111NI0013X · License 5171 (NC), 5172 (NC)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedSpecialist · Research StudyTaxonomy 1744R1102X
Also ListedNaturopathTaxonomy 175F00000X
10926 DAVID TAYLOR DR STE 120, Charlotte, NC 28262
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Secondary Practice Location 1

Location 13000 Midlantic Dr Ste 100Mount Laurel, NJ 08054-1513 · Phone (856) 607-2400

Other Identifiers 1

Other5172NC · Chiropractic License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deirdre V Clark Dc, Nd, Cht, Ccra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.
114 services11 patients

Other Providers at the Same Location NPPES 13

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

XENON ANESTHESIA OF NORTH CAROLINA PLLC
Anesthesiology
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC 28262
Mecklenburg County (803) 851-7616
MISS KATIE ELIZABETH PIUTA
Behavior Analyst
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC 28262
Mecklenburg County (877) 262-2221
MR. PAUL JEFFERSON SATTERWHITE JR. RN
Registered Nurse
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC 28262
Mecklenburg County (864) 248-3882
JOY PALACE LLC
Home Health
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC 28262
Mecklenburg County (980) 748-1984
ABA GRATEFUL CARE NC
Community/Behavioral Health
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC 28262
Mecklenburg County (917) 285-0113
DR. CAROL DELANE JONES PHD
Non-emergency Medical Transport (VAN)
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC 28262
Mecklenburg County (202) 903-9851
THE WRIGHT MEDICAL TRANSPORTATION
Transportation Network Company
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC 28262
Mecklenburg County (980) 230-5409
ANGELAS HELPING HANDZ INC.
In Home Supportive Care
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC 28262
Mecklenburg County (980) 265-9053

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 Deirdre Clark's NPI number?

The NPI number for Deirdre Clark is 1053615989. It was assigned to this individual provider in the NPPES registry on January 6, 2011.

Where is Deirdre Clark located?

Deirdre Clark practices at 10926 David Taylor Dr Ste 120, Charlotte, NC 28262. The listed phone number is (704) 266-3250.

What is Deirdre Clark's specialty?

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

Is Deirdre Clark enrolled in Medicare?

Yes. Deirdre Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deirdre Clark was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.