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DR. MICHAEL SCOTT CLARK DC
NPI 1710059035
Chiropractor in Lehi, UT

Active since November 14, 2006
380 E MAIN ST, SUITE E, LEHI, UT 84043(801) 768-2939(801) 768-2955 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Scott Clark Dc NPPES

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

DR. MICHAEL SCOTT CLARK DC (NPI 1710059035) is an individual chiropractor in Lehi, Utah, licensed in Utah (6204897-1202) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1710059035
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL SCOTT CLARKCredential: DC
Location Address380 E MAIN ST, SUITE ELehi, UT 84043-2228
Mailing Address380 E Main St, Suite ELehi, UT 84043-2228 · (801) 768-2939 · Fax (801) 768-2955
Phone(801) 768-2939
Fax(801) 768-2955
Sole ProprietorYes
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710059035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 6204897-1202
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.
380 E MAIN ST, Lehi, UT 84043
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

Medicare enrollment records show Michael Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Escalon Physical Medicine, Inc
525 mi
Family Medicine
1933 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1821417866 (209) 838-3434

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

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, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
192 services35 patients

Other Providers at the Same Location NPPES 4

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

ANDERSEN FAMILY CHIROPRACTIC PC
Chiropractor
380 E MAIN ST, SUITE E
LEHI, UT 84043
Utah County (801) 768-2939
CONNECT CHIROPRACTIC LLC
Chiropractor
380 E MAIN ST, SUITE E
LEHI, UT 84043
Utah County (801) 768-2939
BRETT JAMES HADERLIE D.C.
Chiropractor
380 E MAIN ST, # E
LEHI, UT 84043
Utah County (801) 768-2939
DR. RONALD D. ANDERSEN DC
Chiropractor
380 E MAIN ST, SUITE E
LEHI, UT 84043
Utah County (801) 768-2939

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1710059035. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Michael Clark located?

Michael Clark practices at 380 E Main St Suite E, Lehi, UT 84043. The listed phone number is (801) 768-2939.

What is Michael Clark's specialty?

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

Is Michael Clark enrolled in Medicare?

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

Which organization bills Medicare for Michael Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Clark reassigns Medicare benefits to Escalon Physical Medicine, Inc (Modesto, CA). The 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 Michael Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael 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.