Organization Active NPI

Impact Chiropractic, Smith Chiropractic Inc.

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1013550409
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IMPACT CHIROPRACTIC, SMITH CHIROPRACTIC INC.
Practice address
6621 E Pacific Coast Hwy Ste 120
Long Beach, CA 90803-4244
Phone
(562) 414-5001
Fax
(562) 414-5002
NPI assigned
Oct 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Dr. Ryan Craig Smith, DCNPI 1770822900
Title
Owner
Phone
(562) 810-4401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

6621 E Pacific Coast Hwy Ste 120
Long Beach, CA 90803-4244

Mailing address

6621 E Pacific Coast Hwy Ste 120
Long Beach, CA 90803-4244
Phone (562) 414-5001

Other practice location 1

600 Pacific Coast Hwy Ste 200
Seal Beach, CA 90740-6600
Phone (562) 414-5001

Other identifiers 2

IdentifierTypeStateIssuer
1013550409OtherCAGROUP NPI
1770822900OtherCANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191202000410 CA Part B Supplier - Clinic/Group Practice 1355774530 Receives reassigned benefits from 2 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

6621 E Pacific Coast Hwy
Ste 120
Long Beach, CA 90803
Phone (562) 414-5001

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1013550409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 E PACIFIC COAST HWY STE 120",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034244",
            "telephone_number": "562-414-5001",
            "fax_number": "562-414-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 E PACIFIC COAST HWY STE 120",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034244",
            "telephone_number": "562-414-5001",
            "fax_number": "562-414-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Pacific Coast Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907406600",
            "country_code": "US",
            "telephone_number": "562-414-5001",
            "fax_number": "562-414-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPACT CHIROPRACTIC, SMITH CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-810-4401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1013550409",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770822900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.