Active NPI
Smith Chiropractic Center P.C.
- Chiropractor
- Steeleville, IL
National Provider Identifier
1003003047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SMITH CHIROPRACTIC CENTER P.C.
- Practice address
- 607 N Sparta St
Steeleville, IL 62288-1536 - Phone
- (618) 965-3121
- Fax
- (618) 965-9163
- NPI assigned
- Oct 3, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Robert D. Smith, D.C.
- Title
- President
- Phone
- (618) 965-3121
National Provider Directory
National Provider DirectoryLocations
607 N Sparta St
Steeleville, IL 62288
Phone (618) 956-3121
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
607 N Sparta St
Steeleville, IL 62288-1536
Mailing address
607 N Sparta St
P.O. Box 51
Steeleville, IL 62288-1536
Phone (618) 965-3121
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079-82012 | Other | IL | BC/BS |
| 129105 | Other | IL | HEALTH LINK |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2007.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191456000000",
"number": "1003003047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 N SPARTA ST",
"address_2": "P.O. BOX 51",
"city": "STEELEVILLE",
"state": "IL",
"postal_code": "622881536",
"telephone_number": "618-965-3121",
"fax_number": "618-965-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 N SPARTA ST",
"city": "STEELEVILLE",
"state": "IL",
"postal_code": "622881536",
"telephone_number": "618-965-3121",
"fax_number": "618-965-9163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH CHIROPRACTIC CENTER P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-03",
"last_updated": "2007-10-04",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-965-3121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "079-82012",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "129105",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Steeleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.