DR. RANDAL MARK CLARK D.C.
NPI 1407987019
Chiropractor in Kent, WA

Q: What is Randal Clark's NPI number?

The NPI number for Randal Clark is 1407987019. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Randal 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 Randal Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 07, 2007

22711 43RD AVE S, KENT, WA 98032(253) 373-9902(253) 661-6405 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Randal Mark Clark D.c. NPPES

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

DR. RANDAL MARK CLARK D.C. (NPI 1407987019) is an individual chiropractor in Kent, Washington, licensed in Washington (1870) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1407987019

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. RANDAL MARK CLARKCredential: D.C.

Location Address22711 43RD AVE SKent, WA 98032-8467

Mailing Address22711 43rd Ave SKent, WA 98032-8467 · (253) 373-9902 · Fax (253) 661-6405

Phone(253) 373-9902

Fax(253) 661-6405

Sole ProprietorYes

Enumeration DateMarch 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407987019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WA · 1870

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.

22711 43RD AVE S, Kent, WA 98032

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Other Identifiers 2

Other101394WA · L & I

Medicare ID-Type UnspecifiedAB09095WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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 Randal Clark's NPI number?

The NPI number for Randal Clark is 1407987019. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Randal Clark located?

Randal Clark practices at 22711 43rd Ave S, Kent, WA 98032. The listed phone number is (253) 373-9902.

What is Randal Clark's specialty?

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

What insurance does Randal Clark accept?

Health plans from PacificSource Health Plans list Randal 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 Randal Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.