MR. DERRICK BARK DC, ATC
NPI 1194277582
Chiropractor in Ballwin, MO

Active since November 01, 2016
344 WOODGREEN DR, BALLWIN, MO 63011(937) 570-7110 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2023, Jul 2, 2018, Nov 1, 2016 (3 updates tracked since 2016).

About Mr. Derrick Bark Dc, Atc NPPES

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

MR. DERRICK BARK DC, ATC (NPI 1194277582) is an individual chiropractor in Ballwin, Missouri, licensed in Missouri (2023000539) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1194277582
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. DERRICK BARKCredential: DC, ATC
Location Address344 WOODGREEN DRBallwin, MO 63011-5031
Mailing Address344 Woodgreen DrBallwin, MO 63011-5031 · (937) 570-7110
Sole ProprietorYes
Enumeration DateNovember 1, 2016
Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration
NPPES CertifiedDecember 11, 2022
NPI 1194277582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MO · 2023000539
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 ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
344 WOODGREEN DR, Ballwin, MO 63011

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 Derrick Bark's NPI number?

The NPI number for Derrick Bark is 1194277582. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Derrick Bark located?

Derrick Bark practices at 344 Woodgreen Dr, Ballwin, MO 63011. The listed phone number is (937) 570-7110.

What is Derrick Bark'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 Derrick Bark was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.