Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Scott Clark, DC

Individual provider Chiropractor · NPI 1003864620

Dr. Jacob Scott Clark, DC is a Chiropractic in Lafayette, Louisiana. Qualified in 2003, 23 years ago. Practices with Clark Integrated Medical Clinics LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
23
Licensed in
LA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

854C Kaliste Saloom Rd
Lafayette, LA 70508-4210
Phone: (337) 232-3353
Fax: (337) 232-9304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1322 (LA)

Record details

NPI number1003864620
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESMay 2, 2008
Mailing address854c Kaliste Saloom Rd, Lafayette, LA 70508-4210

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Clark Integrated Medical Clinics Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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