Dennis E Smith, DC
Individual provider Active NPI Chiropractor · Fircrest, WA
NPI 1013932201 · NPPES record last updated Jul 30, 2015
Key facts
- NPI
- 1013932201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH00001762 (WA)
- Practice address
- 6314 19TH St W
#11
Fircrest, WA 98466-6223 - Phone
- (253) 267-8188
- Fax
- (253) 267-8187
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6314 19TH St W
Suite 11
Fircrest, WA 98466-6223
Phone (253) 267-8188
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050425000014 | WA | Practitioner - Chiropractic |
4789622382 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00001762 | WA | Yes |
Addresses
Primary practice location
6314 19TH St W
#11
Fircrest, WA 98466-6223
Mailing address
6314 19TH St W
#11
Fircrest, WA 98466-6223
Phone (253) 267-8188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32024 | Other | WA | STATE LABOR & INDUSTRIES |
| 350055487 | Other | WA | RAILROAD MEDICARE |
| SM3685 | Other | WA | REGENCE |
| 8647406 | Medicaid | WA | |
| G8852620 | Other | WA | MEDICARE PTAN |
Other providers in Fircrest, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.