CLARK CHIROPRACTIC CENTER, INC.
NPI 1710025200
Chiropractor in Pasadena, MD

Active since February 05, 2007
4639 MOUNTAIN RD, PASADENA, MD 21122(443) 637-4936(443) 637-4946 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clark Chiropractic Center, Inc. NPPES

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

CLARK CHIROPRACTIC CENTER, INC. (NPI 1710025200) is a healthcare organization registered as a chiropractor in Pasadena, Maryland and active in the NPI registry since February 2007. The organization lists Steven E. Clark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710025200
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLARK CHIROPRACTIC CENTER, INC.
Location Address4639 MOUNTAIN RDPasadena, MD 21122-5455
Mailing Address4639 Mountain RdPasadena, MD 21122-5455 · (443) 637-4936 · Fax (443) 637-4946
Fax(443) 637-4946
Organization SubpartNo
Authorized OfficialSteven E. ClarkCeo · (443) 637-4936
Enumeration DateFebruary 5, 2007
Last NPPES UpdateNovember 20, 2008
NPI 1710025200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MD · 1464PT
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.

4639 MOUNTAIN RD, Pasadena, MD 21122

Other Identifiers 2

Medicare PING02232MD
Medicare UPINU24311MD

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710025200, enumerated as an "organization" on February 05, 2007.

The provider is located at 4639 MOUNTAIN RD PASADENA, MD 21122 and the phone number is (443) 637-4936.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.