DR. DEIRDRE V CLARK DC, ND, CHT, CCRA
NPI 1053615989
Chiropractor in Charlotte, NC
NPI Status: Active since January 06, 2011
Contact Information
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC
ZIP 28262
Phone: (704) 266-3250
- Individual
- Female
- Chiropractor
- PECOS Enrolled
About DEIRDRE CLARK
This page provides the complete NPI Profile along with additional information for Deirdre Clark, a provider established in Charlotte, North Carolina with a medical specialization in Chiropractor. The healthcare provider is registered in the NPI registry with number 1053615989 assigned on January 2011. The practitioner's primary taxonomy code is 111N00000X with license number 5172 (NC). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1053615989
- Provider Name
- DR. DEIRDRE V CLARK DC, ND, CHT, CCRA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10926 DAVID TAYLOR DR STE 120 CHARLOTTE, NC 28262
- Location Phone
- (704) 266-3250
- Mailing Address
- 10926 DAVID TAYLOR DR STE 120 CHARLOTTE, NC 28262
- Mailing Phone
- (704) 266-3250
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-06-2011
- Last Update Date
- 08-27-2020
- Code Navigator
A chiropractor like Deirdre Clark helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Secondary Locations
- 3000 Midlantic Dr Ste 100
Mount Laurel, NJ 08054
(856) 607-2400
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 5172
- License State
- NC
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111NI0013X | Chiropractic Providers | Chiropractor | 5171 (NC) |
| 2 | 111NI0013X | Chiropractic Providers | Chiropractor | 5172 (NC) |
| 3 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 4 | 1744R1102X | Other Service Providers | Specialist | |
| 5 | 175F00000X | Other Service Providers | Naturopath |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5172 | OTHER (01) | NC | CHIROPRACTIC LICENSE |
Medicare Participation & PECOS Enrollment Status
Deirdre Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Chiropractic manipulative treatment, 3-4 spinal regions
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.
This service was performed 167 times for 17 patientsReviews for DR. DEIRDRE V CLARK DC, ND, CHT, CCRA
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053615989, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053615989, enumerated as an "individual" on January 06, 2011.
The provider is located at 10926 DAVID TAYLOR DR STE 120 CHARLOTTE, NC 28262 and the phone number is (704) 266-3250.
Chiropractor with taxonomy code 111N00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
