NICOLE CLARK D.C.
NPI 1184150427
Chiropractor in Santa Clarita, CA

Q: What is Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1184150427. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Q: What is Nicole Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Clark was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 05, 2017Accepts Medicare Assignment

18635 SOLEDAD CANYON RD, SUITE 102, SANTA CLARITA, CA 91351(661) 347-6617 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2021, Aug 17, 2021, Aug 8, 2017 (3 updates tracked since 2017).

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About Nicole Clark D.c. NPPES

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

NICOLE CLARK D.C. (NPI 1184150427) is an individual chiropractor in Santa Clarita, California, licensed in California (DC33825) and active in the NPI registry since May 2017. She is a graduate of Los Angeles College Of Chiropractic (2016).

NPPES Registry Identity

NPI1184150427

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameNICOLE CLARKCredential: D.C.

Location Address18635 SOLEDAD CANYON RD, SUITE 102Santa Clarita, CA 91351-3725

Mailing Address18635 Soledad Canyon Rd, Suite 102Santa Clarita, CA 91351-3725 · (661) 347-6617

Phone(661) 347-6617

Sole ProprietorYes

Medical School CMSLos Angeles College Of ChiropracticGraduated 2016

Enumeration DateMay 5, 2017

Last NPPES UpdateSeptember 28, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2021

✔ NPI 1184150427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC33825

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.

18635 SOLEDAD CANYON RD, Santa Clarita, CA 91351

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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

Nicole 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 ID7719256270

PECOS Enrollment IDI20170713001507

Other Providers at the Same Location NPPES 2

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

INSPIRED FAMILY CHIROPRACTIC A CLARK CORPORATION

Chiropractor

18635 SOLEDAD CANYON RD, SUITE 102
SANTA CLARITA, CA 91351

Los Angeles County (661) 347-6617

IVANA YOUNAN

Dentist

18635 SOLEDAD CANYON RD, STE 108
CANYON COUNTRY, CA 91351

Los Angeles County (661) 299-2525

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 Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1184150427. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Nicole Clark located?

Nicole Clark practices at 18635 Soledad Canyon Rd Suite 102, Santa Clarita, CA 91351. The listed phone number is (661) 347-6617.

What is Nicole Clark's specialty?

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

Is Nicole Clark enrolled in Medicare?

Yes. Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Clark was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.