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DR. DIANE MARIE CLARK D.C.
NPI 1306994637
Chiropractor in Port Orange, FL

Active since January 05, 2007Accepts Medicare Assignment
4705 S CLYDE MORRIS BLVD, PORT ORANGE, FL 32129(386) 763-2728 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Diane Marie Clark D.c. NPPES

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

DR. DIANE MARIE CLARK D.C. (NPI 1306994637) is an individual chiropractor in Port Orange, Florida, licensed in Florida (CH5971) and active in the NPI registry since January 2007. She is a graduate of Other (1987).

NPPES Registry Identity

NPI1306994637
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. DIANE MARIE CLARKCredential: D.C.
Location Address4705 S CLYDE MORRIS BLVDPort Orange, FL 32129-4103
Mailing Address4705 S Clyde Morris BlvdPort Orange, FL 32129-4103 · (386) 763-2728
Phone(386) 763-2728
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 5, 2007
Last NPPES UpdateDecember 19, 2012
✔ NPI 1306994637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH5971
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.
4705 S CLYDE MORRIS BLVD, Port Orange, FL 32129
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Other Names 1

Professional Name (2)Dr. Diane Marie Clark D.c.

Other Identifiers 4

OtherP00706874FL · Railroad Medicare
Medicare ID-Type Unspecified22574FL · Medicare Part B
Other22574FL · Bcbs
Medicaid001509400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan 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. Diane Marie 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 ID1951334846
PECOS Enrollment IDI20050912000986

Other Providers at the Same Location NPPES 19

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

DR. CARL FRANCESCO STEPHENS DC
Chiropractor
4705 S CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 763-2768
DR. ADAM WILLIAM SERGENT D.C.
Chiropractor
4705 S CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (904) 335-3727
JESSIE MILLER DC
Chiropractor
4705 S CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 763-2718
MICHAEL R HOCHBERG DC
Chiropractor
4705 S CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 763-2712
DR. SHANNON ST AMANT D.C.
Chiropractor
4705 S CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 763-2768
DR. STEPHEN WOOTEN DC
Chiropractor
4705 S CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 763-2718
MICHAEL ANTONY CIOLFI DC, HBPE,BSE
Chiropractor
4705 S CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 763-2718
HEATHER LEIGH BOWYER D.C.
Chiropractor
4705 S CLYDE MORRIS BLVD
PORT ORANGE, FL 32129
Volusia County (386) 763-2778

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 Diane Clark's NPI number?

The NPI number for Diane Clark is 1306994637. It was assigned to this individual provider in the NPPES registry on January 5, 2007. The provider is also known as Dr. Diane Marie Clark D.C..

Where is Diane Clark located?

Diane Clark practices at 4705 S Clyde Morris Blvd, Port Orange, FL 32129. The listed phone number is (386) 763-2728.

What is Diane Clark's specialty?

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

Is Diane Clark enrolled in Medicare?

Yes. Diane 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 Diane Clark accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan, UnitedHealthcare and Wellpoint list Diane 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 Diane Clark was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.