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CLARK CHIROPRACTIC CENTER
NPI 1629281001
Chiropractor in Trinidad, CO

Active since May 08, 2007
500 SAN JUAN ST, TRINIDAD, CO 81082(719) 845-0001 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clark Chiropractic Center NPPES

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

CLARK CHIROPRACTIC CENTER (NPI 1629281001) is a healthcare organization registered as a chiropractor in Trinidad, Colorado and active in the NPI registry since May 2007. The organization lists Eric M Clark, Owner Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1629281001
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLARK FAMILY CHIROPRACTIC INC
Location Address500 SAN JUAN STTrinidad, CO 81082-2517
Mailing Address500 San Juan StTrinidad, CO 81082-2517 · (719) 845-0001
Phone(719) 845-0001
Organization SubpartNo
Authorized OfficialEric M ClarkOwner Chiropractor · (719) 845-0001
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629281001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
500 SAN JUAN ST, Trinidad, CO 81082
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Other Names 1

Doing Business AsClark Chiropractic Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark Chiropractic Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20031231000470Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clark Chiropractic Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Eric Clark, D.C.
Chiropractic
NPI 1780751453
500 SAN JUAN ST
Trinidad, CO 81082
(719) 845-0001
Same address
Monty Mcgowen, D.C.
Chiropractic
NPI 1043362817
1800 HOSPITAL DR
Raton, NM 87740
(505) 445-0222
✔ Accepts Medicare21 mi
Brittany Jauernig, D.C.
Chiropractic
NPI 1174054928
12 GRAVOIS STA
House Springs, MO 63051
(636) 671-7111
✔ Accepts Medicare767 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clark Family Chiropractic Inc's NPI number?

The NPI number for Clark Family Chiropractic Inc is 1629281001. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is doing business as Clark Chiropractic Center.

Where is Clark Family Chiropractic Inc located?

Clark Family Chiropractic Inc is located at 500 San Juan St, Trinidad, CO 81082. The listed phone number is (719) 845-0001.

What is Clark Family Chiropractic Inc's specialty?

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

Is Clark Family Chiropractic Inc enrolled in Medicare?

Yes. Clark Family Chiropractic Inc is registered in the Medicare PECOS enrollment system.

When is Clark Family Chiropractic Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Clark Family Chiropractic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Clark Family Chiropractic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clark Family Chiropractic Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.