TIMOTHY CLARK DC
NPI 1629650502
Chiropractor in Greensboro, NC

Active since April 21, 2021
306 MUIRS CHAPEL RD STE A, GREENSBORO, NC 27410(336) 852-2222(336) 852-4844 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Clark Dc NPPES

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

TIMOTHY CLARK DC (NPI 1629650502) is an individual chiropractor in Greensboro, North Carolina, licensed in North Carolina (5291) and active in the NPI registry since April 2021. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2020).

NPPES Registry Identity

NPI1629650502
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTIMOTHY CLARKCredential: DC
Location Address306 MUIRS CHAPEL RD STE AGreensboro, NC 27410-6178
Mailing Address306 Muirs Chapel Rd Ste AGreensboro, NC 27410-6178 · (336) 852-2222 · Fax (336) 852-4844
Fax(336) 852-4844
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2020
Enumeration DateApril 21, 2021
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1629650502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NC · 5291
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.
306 MUIRS CHAPEL RD STE A, Greensboro, NC 27410

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5193134930
PECOS Enrollment IDI20210507002368

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
142 services20 patients

Other Providers at the Same Location NPPES 2

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

Chiropractor
306 MUIRS CHAPEL RD STE A
GREENSBORO, NC 27410
Chiropractor
306 MUIRS CHAPEL RD STE A
GREENSBORO, NC 27410

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 Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1629650502. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Timothy Clark located?

Timothy Clark practices at 306 Muirs Chapel Rd Ste A, Greensboro, NC 27410. The listed phone number is (336) 852-2222.

What is Timothy Clark's specialty?

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

Is Timothy Clark enrolled in Medicare?

Yes. Timothy Clark is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Clark accept?

Health plans from Blue Cross and Blue Shield of NC list Timothy 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 Timothy Clark was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.