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Deactivated NPI 1619049327 Deactivated / Inactive NPI Male Practitioner

Dr. David B Clark , DC, DABCI, NMD

Chiropractor - Internist • Oak Grove, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 15, 2006
NPI Deactivation Date March 06, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Clark, DC, DABCI, NMD was a registered Chiropractor - Internist practicing in Oak Grove, MO. Throughout an active medical career spanning 18 years, Dr. Clark provided care at the practice location at 106 SE 12TH ST until profile deactivation on 2024-03-06.

Practice Location & Contact Primary Location

Practice Address

106 Se 12th St

Oak Grove, MO 640759538

Telephone 8166254497
Fax 8166905900

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor - Internist in Oak Grove, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Oak Grove, MO (16 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor - Internist Primary Specialty

NUCC Taxonomy Code: 111NI0900X

State License MO CE004079

The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 06, 2024

Record deactivated on March 06, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 106 SE 12TH ST, OAK GROVE, MO 640759538 (Tel: 8166254497)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 126, OAK GROVE, MO 640750126 (Tel: 8166254497)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID CLARK, DC, DABCI, NMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #CE004079 in MO)

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Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619049327
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: July 08, 2007
Deactivation Date: March 06, 2024

Mailing Address

Po Box 126

Oak Grove, MO 640750126

Phone: 8166254497

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.