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RAYMOND GEORGE CLARK D.C.
NPI 1619075298
Chiropractor in Fargo, ND

Active since September 20, 2006Accepts Medicare Assignment
1306 23RD ST S, FARGO, ND 58103(701) 235-1360(701) 235-1360 Get Directions Write a Review

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

About Raymond George Clark D.c. NPPES

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

RAYMOND GEORGE CLARK D.C. (NPI 1619075298) is an individual chiropractor in Fargo, North Dakota, licensed in North Dakota (421) and active in the NPI registry since September 2006. He is a graduate of Other (1982).

NPPES Registry Identity

NPI1619075298
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRAYMOND GEORGE CLARKCredential: D.C.
Location Address1306 23RD ST SFargo, ND 58103-3707
Mailing Address1306 23rd St SFargo, ND 58103-3707 · (701) 235-1360 · Fax (701) 235-1360
Phone(701) 235-1360
Fax(701) 235-1360
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619075298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ND · 421
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.
1306 23RD ST S, Fargo, ND 58103
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Other Identifiers 1

Medicare ID-Type Unspecified4313ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Raymond George 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 ID6507051455
PECOS Enrollment IDI20101117000769

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 Raymond Clark's NPI number?

The NPI number for Raymond Clark is 1619075298. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Raymond Clark located?

Raymond Clark practices at 1306 23rd St S, Fargo, ND 58103. The listed phone number is (701) 235-1360.

What is Raymond Clark's specialty?

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

Is Raymond Clark enrolled in Medicare?

Yes. Raymond 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 Raymond Clark accept?

Health plans from Sanford Health Plan list Raymond 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 Raymond 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.