Phillip L Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

369 Issued in LA

Practice address

12320 Highway 44 Ste a
Gonzales, LA 70737-2202

Phone

(225) 644-8671

Fax

(225) 644-6427

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• LA PPO C-SNP
• MS PPO C-SNP
• TX HMO D-SNP
• MS PPO
• TX HMO
• MS PPO D-SNP

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.

• Geauxchiro of Gonzales

  • Chiropractor
  • Gonzales, LA
  • NPI 1770298374
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1003878745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44 STE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-644-8671",
            "fax_number": "225-644-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44 STE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-644-8671",
            "fax_number": "225-644-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILLIP",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951781",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE GRP PROVIDER NUMBER",
            "identifier": "200062121",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C PROVIDER NUMBER",
            "identifier": "G6933",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dequan Smith
• Jamie George Smith, MSPT, ATC, CSCS
• Kelsey Smith
• Kimberley Harris Smith, FNP-BC
• Leah Waters Smith, OTR/L
• Therese Bourgeois Smith, RPH
• Toriyana Lashay Smith
• Veronica Smith
• William Leigh Smith
• Ashley Nicole Snowden, MSW, LCSW

• Chiropractor in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.