Stephen Carroll Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15394 Issued in CA

Practice address

15651 E Imperial Hwy
#100
La Mirada, CA 90638-1600

Phone

(562) 902-0050

Fax

(562) 902-8677

NPI assigned

Oct 20, 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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthways Chiropractic, a Smith Professional CorporationGroup PAC ID 6709315179, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthways Chiropractic, a Smith Professional Corporation

  • Health Service Clinic/Center
  • La Mirada, CA
  • NPI 1720802903
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1003999541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15651 E IMPERIAL HWY",
            "address_2": "#100",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381600",
            "telephone_number": "562-902-0050",
            "fax_number": "562-902-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 E IMPERIAL HWY",
            "address_2": "#100",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381600",
            "telephone_number": "562-902-0050",
            "fax_number": "562-902-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismael Silva Jr., M.D.
• James Matthew Simmons, MPT
• Smile Works, a Dental Group of Farukhi P.C.
• Smile Works, a Dental Group of Farukhi P.C.
• Andrea Lauren Smith, D.C.
• Joon Woo Sohn, DMD
• Jonah Solomon, DNP
• Maria Celine Isabel Sombillo
• Andrew Phetaroun Somphonphakdy
• Seok Mo Son

• Chiropractor in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.