Dominique Clark, DC
Chiropractor in Park Ridge, New Jersey
1932071503- Practice location
- 17 Hawthorne Ave, Park Ridge, NJ 07656-1212
- Phone
- 201-501-8984
- Fax
- —
- Last updated
- September 22, 2025
Dominique Clark is a Chiropractor based in Park Ridge, NJ. Dominique Clark practices in Park Ridge, NJ and has the professional credentials of DC. The NPI Number for Dominique Clark is 1932071503 and holds a License No. 38MC00813900 (NJ). The current practice location address for Dominique Clark is 17 Hawthorne Ave, Park Ridge, NJ 07656-1212 and can be reached out via phone at 201-501-8984.
Provider Profile Details
- NPI Number
- 1932071503
- Provider Name
- Dominique Clark
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 17 Hawthorne Ave, Park Ridge, NJ 07656-1212
- Phone Number
- 201-501-8984
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 22, 2025
- Last Update Date
- September 22, 2025
- Certification Date
- September 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Hawthorne Ave
Park Ridge, NJ 07656-1212 - City
- Park Ridge
- State
- New Jersey
- Zip
- 07656-1212
- Phone Number
- 201-501-8984
Provider Business Mailing Address Details
- Address
- 17 Hawthorne Ave
Park Ridge, NJ 07656-1212 - City
- Park Ridge
- State
- NJ
- Zip
- 07656-1212
- Phone Number
- 201-501-8984
License Information
- License Number
- 38MC00813900
- License State
- NJ
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dominique Clark, DC?
The NPI number of Dominique Clark, DC is 1932071503. It was assigned on September 22, 2025 and is currently active in the NPPES registry.
What is the specialty of Dominique Clark, DC?
Dominique Clark, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00813900.
Where does Dominique Clark, DC practice?
The practice location is 17 Hawthorne Ave, Park Ridge, NJ 07656-1212. The office can be reached at 201-501-8984 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932071503 directly on the NPPES registry website.