ROBERT DEAN CLARK D.O.
NPI 1629174461
Chiropractor in Winslow, ME

Active since September 16, 2006
28 CLINTON AVE STE 2, WINSLOW, ME 04901(207) 873-0904(207) 873-0904 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Robert Dean Clark D.o. NPPES

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

ROBERT DEAN CLARK D.O. (NPI 1629174461) is an individual chiropractor in Winslow, Maine, licensed in Maine (CR1063) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1629174461
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameROBERT DEAN CLARKCredential: D.O.
Location Address28 CLINTON AVE STE 2Winslow, ME 04901-7076
Mailing Address28 Clinton Ave Ste 2Winslow, ME 04901-7076 · (207) 873-0904 · Fax (207) 873-0904
Fax(207) 873-0904
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1629174461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ME · CR1063
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.
28 CLINTON AVE STE 2, Winslow, ME 04901

Other Identifiers 3

OtherC0425ME · Anthem Blue Cross Blue Sh
Medicare UPIN030231ME
Medicare ID-Type UnspecifiedMM6393ME

Other Providers at the Same Location NPPES

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

Chiropractor
28 CLINTON AVE STE 2
WINSLOW, ME 04901

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 Robert Clark's NPI number?

The NPI number for Robert Clark is 1629174461. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Robert Clark located?

Robert Clark practices at 28 Clinton Ave Ste 2, Winslow, ME 04901. The listed phone number is (207) 873-0904.

What is Robert Clark'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 Robert 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.