Individual provider Active NPI

Dustin Hadley Smith, DC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1003380775
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1996 Issued in NE
Practice address
345 Speedway Cir
Lincoln, NE 68502-3313
Phone
(402) 239-0496
NPI assigned
Jan 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1996 NE Primary

Addresses

Primary practice location

345 Speedway Cir
Lincoln, NE 68502-3313

Mailing address

315 Speedway Cir
Lincoln, NE 68502-3300
Phone (402) 239-0496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190208002650 NE Practitioner - Chiropractic 6709124175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevated Health Chiropractic LLCGroup PAC ID 0446644827, 2 clinicians

Practice addresses (Care Compare)

315 Speedway Cir
Lincoln, NE 68502-3300

345 Speedway Cir
Lincoln, NE 68502-3313
Phone (531) 500-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1996NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Health Chiropractic LLC Chiropractor CurrentSince Jan 17, 2022 Accepting new patients

Locations

345 Speedway Cir
Lincoln, NE 68502
Phone (402) 212-1273

315 Speedway Cir
Lincoln, NE 68502

Networks

  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • CO HMO
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IA HMO
  • IA HMO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1003380775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SPEEDWAY CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023300",
            "telephone_number": "402-239-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SPEEDWAY CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023313",
            "telephone_number": "402-239-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DUSTIN",
        "middle_name": "HADLEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-16",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.