Organization Active NPI

Smith Chiropractic Center P.C.

  • Chiropractor
  • Steeleville, IL
National Provider Identifier
1003003047
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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 Directory

Locations

607 N Sparta St
Steeleville, IL 62288
Phone (618) 956-3121

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
079-82012OtherILBC/BS
129105OtherILHEALTH 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.

Verify at the official NPI Registry.