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Dr. Jeffrey Paul Clark , DC

Chiropractor β€’ Lake Stevens, WA

Active NPI 1366417487 Individual Practitioner Male Practitioner
Practice location in NPPES

9633 Market Place, Suite #103
Lake Stevens, WA 98258

Call 4253350300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9633 Market Place
Suite #103

Lake Stevens, WA 98258

Telephone 4253350300
Fax 4253350302
Organization at the Same NPPES Address or Phone
Market Place Chiropractic Wellness Center Facility NPI 1013160191

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lake Stevens and Washington

13 active clinicians are listed under Chiropractor with a practice address in Lake Stevens, WA (3,009 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lake Stevens

0% of these 13 clinicians have the CMS telehealth indicator.

23.1% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES WA CH00002638

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Railroad Medicare
350052980 (WA)
Other Identifier Workers Comp
43630 (WA)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active March 06, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 06, 2017

Registered at 9633 MARKET PLACE, SUITE #103, LAKE STEVENS, WA 98258 (Tel: 4253350300)

πŸ“
Updated Business Mailing Address March 06, 2017

Registered at 9633 MARKET PLACE, SUITE #103, LAKE STEVENS, WA 98258 (Tel: 4253350300)

πŸ‘€
Provider Name / Credentials Updated March 06, 2017

Recorded as JEFFREY CLARK, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2017

Chiropractor (license number reported to NPPES: WA CH00002638)

βœ…
NPI Profile Active October 16, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 16, 2008

Registered at 9633 MARKET PLACE, SUITE #103, LAKE STEVENS, WA 98258 (Tel: 4253350300)

πŸ“
Business Mailing Address (Initial Record) October 16, 2008

Registered at 9633 MARKET PLACE, SUITE #103, LAKE STEVENS, WA 98258 (Tel: 4253350300)

πŸ‘€
Provider Name / Credentials (Initial Record) October 16, 2008

Recorded as JEFFREY CLARK, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2008

Chiropractor (license number reported to NPPES: WA CH00002638)

🟒
Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366417487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: March 06, 2017
Sole Proprietor: No

Other Chiropractors in Lake Stevens

All Chiropractors in Lake Stevens

Mailing Address

9633 Market Place, Suite #103

Lake Stevens, WA 98258

Phone: 4253350300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.