Jack J. Clark, D.c.p.c.
NPI 1083820302 · Chiropractor · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack J. Clark, D.c.p.c. is a Chiropractor organization in Fort Wayne, IN (NPI 1083820302).
Provider details
- NPI number
- 1083820302
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Valerie Badiac, Office Manager(260) 486-1886
- License
- 08002245A (IN)
Specialties & taxonomies
Chiropractic Providers
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2008-06-27
Frequently asked questions
- What is Jack J. Clark, D.c.p.c.'s NPI number?
- Jack J. Clark, D.c.p.c.'s National Provider Identifier (NPI) is 1083820302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack J. Clark, D.c.p.c.?
- Jack J. Clark, D.c.p.c. is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Jack J. Clark, D.c.p.c. located?
- Jack J. Clark, D.c.p.c.'s practice location on file with NPPES is 6015 E State Blvd, Fort Wayne, IN 46815-7638.
- What is Jack J. Clark, D.c.p.c.'s phone number?
- The practice phone number listed in the NPPES registry for Jack J. Clark, D.c.p.c. is (260) 486-1886.
- Does Jack J. Clark, D.c.p.c. accept Medicare?
- Jack J. Clark, D.c.p.c. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jack J. Clark, D.c.p.c.?
- The authorized official listed on Jack J. Clark, D.c.p.c.'s NPPES record is Valerie Badiac, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack J. Clark, D.c.p.c.'s NPI active?
- Yes — Jack J. Clark, D.c.p.c.'s NPI (1083820302) is active in the NPPES registry as of the last update on 2008-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.