Deirdre V. Clark, DC, ND, CHT, CCRA
NPI 1053615989ActiveIndividual· Chiropractor· Charlotte, NC
Chiropractor (DC, ND, CHT, CCRA) in Charlotte, North Carolina, licensed in NC, with an NPI issued in January 2011. Medicare paid $2,781 for services to 11 patients in 2024.
Overview
| NPI | 1053615989 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC, ND, CHT, CCRA |
| Sole proprietor | Yes |
| NPI issued | Jan 6, 2011 |
| Last updated in NPPES | Aug 27, 2020 |
| Certified by provider | Aug 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5172 | NC |
| Chiropractor, Independent Medical Examiner | 111NI0013X | 5172 | NC |
| Chiropractor, Independent Medical Examiner | 111NI0013X | 5171 | NC |
| Case Manager/Care Coordinator | 171M00000X | — | — |
| Specialist, Research Study | 1744R1102X | — | — |
| Naturopath | 175F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 114 across 1 procedure code |
| Paid by Medicare | $2,781 |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 531 chiropractors in Charlotte · All chiropractors in North Carolina