Sadat Malik Kwabena Smith, DC, MS, DIBCN, DIBE

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7867 Issued in FL

Practice address

927 S Goldwyn Ave
Unit 220
Orlando, FL 32805-4324

Phone

(407) 574-8542

Fax

(407) 442-2071

NPI assigned

May 31, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Networks

• FL HMO
• FL PPO
• Freedom Health HMO Network

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.

• World Health Wellness, Incorporated

  • Neurology Chiropractor
  • Orlando, FL
  • NPI 1801131263
  NPD (past) Authorized official

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1013910462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 S GOLDWYN AVE",
            "address_2": "UNIT 220",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328054324",
            "telephone_number": "407-574-8542",
            "fax_number": "407-442-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S GOLDWYN AVE",
            "address_2": "UNIT 220",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328054324",
            "telephone_number": "407-574-8542",
            "fax_number": "407-442-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SADAT",
        "middle_name": "MALIK KWABENA",
        "name_prefix": "Dr.",
        "credential": "DC, MS, DIBCN, DIBE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381446700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard C Smith, M.D.
• Richard L Smith, M.D.
• Robert Smith IV
• Robert Kirk Smith, OD
• Russell Smith, PA-C
• Samone Victoria Smith, BEHAVIOR TECHNICIAN
• Sarah Louise Smith, LCSW
• Savannah Smith
• Shakira Smith
• Shana Renee Smith, MS

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.