CLARK CHIROPRACTIC CLINIC
NPI 1952555211
Chiropractor in Odessa, TX

Active since November 12, 2008
6301 EASTRIDGE RD, ODESSA, TX 79762(432) 337-5553(432) 337-6183 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clark Chiropractic Clinic NPPES

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

CLARK CHIROPRACTIC CLINIC (NPI 1952555211) is a healthcare organization registered as a chiropractor in Odessa, Texas and active in the NPI registry since November 2008. The organization lists James William Kirk, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1952555211
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLARK CHIROPRACTIC CLINIC
Location Address6301 EASTRIDGE RDOdessa, TX 79762-5045
Mailing Address6301 Eastridge RdOdessa, TX 79762-5045 · (432) 337-5553 · Fax (432) 337-6183
Fax(432) 337-6183
Organization SubpartNo
Authorized OfficialJames William KirkPresident/ceo · (432) 337-5553
Enumeration DateNovember 12, 2008
✔ NPI 1952555211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in TX · 5928✔ Licensed in TX · 8532✔ Licensed in TX · 7347✔ Licensed in TX · 2256
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.
6301 EASTRIDGE RD, Odessa, TX 79762

Other Identifiers 4

Medicare PIN609998TX
Medicare PIN605746TX
Medicare PIN600186TX
Medicare PIN603914TX

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20090318000585Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Clark Chiropractic Clinic, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Chiropractic
NPI 1891856514
2458 E 11TH ST
Odessa, TX 79761
(432) 337-5553
2.8 mi
Chiropractic
NPI 1902968969
2458 E 11TH ST
Odessa, TX 79761
(432) 337-5553
2.8 mi
Chiropractic
NPI 1497817456
2458 E 11TH ST
Odessa, TX 79761
(432) 337-5553
2.8 mi
Chiropractic
NPI 1366741134
8615 ANDREWS HWY
Odessa, TX 79765
(214) 908-0959
5.9 mi
Chiropractic
NPI 1821361767
5550 LBJ FREEWAY STE 150
Dallas, TX 75240
(972) 792-0204
329 mi
Chiropractic
NPI 1528399375
5808 GREENSBORO DR
Frisco, TX 75035
(432) 296-1519
335 mi

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 Clark Chiropractic Clinic's NPI number?

The NPI number for Clark Chiropractic Clinic is 1952555211. It was assigned to this organization in the NPPES registry on November 12, 2008.

Where is Clark Chiropractic Clinic located?

Clark Chiropractic Clinic is located at 6301 Eastridge Rd, Odessa, TX 79762. The listed phone number is (432) 337-5553.

What is Clark Chiropractic Clinic's specialty?

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

Is Clark Chiropractic Clinic enrolled in Medicare?

Yes. Clark Chiropractic Clinic is registered in the Medicare PECOS enrollment system.

When is Clark Chiropractic Clinic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Clark Chiropractic Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Chiropractic, reassign their Medicare billing to Clark Chiropractic Clinic. A 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 the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clark Chiropractic Clinic was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.