CLARK CHIROPRACTIC AND MASSAGE PS
NPI 1659783363
Clinic/Center in Port Angeles, WA

NPI Status: Active since May 29, 2014

Contact Information

601 S RACE ST STE C
PORT ANGELES, WA
ZIP 98362
Phone: (360) 452-7636

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About CLARK CHIROPRACTIC AND MASSAGE PS

This page provides the complete NPI Profile along with additional information for Clark Chiropractic And Massage Ps, a provider established in Port Angeles, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1659783363 assigned on May 2014. The practitioner's primary taxonomy code is 261Q00000X with license number CHIR.CH.60465702 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dustin Clark D.c. (President)

NPI
1659783363
Provider Name
CLARK CHIROPRACTIC AND MASSAGE PS
Entity Type
Organization
Location Address
601 S RACE ST STE C PORT ANGELES, WA 98362
Location Phone
(360) 452-7636
Mailing Address
601 S RACE ST STE C PORT ANGELES, WA 98362
Mailing Phone
(360) 452-7636
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2014
Last Update Date
05-29-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
CHIR.CH.60465702
License State
WA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DUSTIN CLARK D.C.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(360) 452-7636

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659783363
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261091486312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 4 + 8 + 6 + 3 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1659783363 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

KIMBERLY JANE MILES

Massage Therapist

601 S RACE ST STE C
PORT ANGELES, WA
ZIP 98362

(360) 452-7636

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659783363, enumerated as an "organization" on May 29, 2014.

The provider is located at 601 S RACE ST STE C PORT ANGELES, WA 98362 and the phone number is (360) 452-7636.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.