DR. TIMOTHY PATRICK CLARE D.C.
NPI 1821168725
Chiropractor - Sports Physician in Charlotte, NC

Q: What is Timothy Clare's NPI number?

The NPI number for Timothy Clare is 1821168725. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Timothy Clare's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Clare 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.

Active since November 08, 2006

13209 CAROWINDS BLVD STE G, CHARLOTTE, NC 28273(704) 583-6129 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Timothy Patrick Clare D.c. NPPES

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

DR. TIMOTHY PATRICK CLARE D.C. (NPI 1821168725) is an individual sports physician in Charlotte, North Carolina, licensed in North Carolina (2263) and active in the NPI registry since November 2006. He is a graduate of Life Chiropractic College - West (1995).

NPPES Registry Identity

NPI1821168725

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. TIMOTHY PATRICK CLARECredential: D.C.

Location Address13209 CAROWINDS BLVD STE GCharlotte, NC 28273-6735

Mailing Address31506 Villa TerraceFort Mill, SC 29715 · (803) 548-2196

Phone(704) 583-6129

Sole ProprietorNo

Medical School CMSLife Chiropractic College - WestGraduated 1995

Enumeration DateNovember 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1821168725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in NC · 2263

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

13209 CAROWINDS BLVD STE G, Charlotte, NC 28273

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Other Identifiers 5

Other0181LNC · Blue Cross Blue Shield

Medicaid890826FNC

Medicare UPINU61148NC

OtherNC2263NC · State License

Medicare ID-Type Unspecified2450232BNC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Patrick Clare D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365524832

PECOS Enrollment IDI20080123000780

Medicare Billing Reassignment

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

Prohealth & Wellness Chiropractic

0.2 mi

Chiropractor

10955 WINDS CROSSING DR STE 400
Charlotte, NC 28273

Reassigned Medicare billing, North Carolina enrollment

NPI 1568585099 (704) 583-6129

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 Timothy Clare's NPI number?

The NPI number for Timothy Clare is 1821168725. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Timothy Clare located?

Timothy Clare practices at 13209 Carowinds Blvd Ste G, Charlotte, NC 28273. The listed phone number is (704) 583-6129.

What is Timothy Clare's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Timothy Clare enrolled in Medicare?

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

Which organization bills Medicare for Timothy Clare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Clare reassigns Medicare benefits to Prohealth & Wellness Chiropractic (Charlotte, NC). 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 Timothy Clare'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 Timothy Clare 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.