Kelly Denise Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6216 Issued in TX

Practice address

4709 State Highway 121
Suite 124
The Colony, TX 75056-2914

Phone

(972) 625-4800

Fax

(972) 625-5028

NPI assigned

Feb 17, 2006

Last updated

Nov 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colony Chiropractic PA

  dba Colony Chiropractic

  • Chiropractor
  • The Colony, TX
  • NPI 1962698308
  Medicare reassignment NPD Authorized official
• Colony Family Chiropractic PLLC

  dba Colony Chiropractic

  • Chiropractor
  • The Colony, TX
  • NPI 1932913688
  NPD

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1023082724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 STATE HIGHWAY 121",
            "address_2": "SUITE 124",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562914",
            "telephone_number": "972-625-4800",
            "fax_number": "972-625-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 STATE HIGHWAY 121",
            "address_2": "SUITE 124",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562914",
            "telephone_number": "972-625-4800",
            "fax_number": "972-625-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8H3860",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Gerald Simeone, M.A., LPC
• Stephen Simpson, LPC-A
• Smiles Hut Dental
• Hollye Paige Smith, M.S. CCC-SLP
• Jenny T. Smith, PA-C
• Kelsey Marie Smith
• Heba Sohail
• Ariana Solis
• Sheila Soslow, LPC
• Spectrum of Grace

• Chiropractor in The Colony, TX
• Providers in The Colony, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.