Organization Active NPI

Smith Chiropractic & Rehabilitation

  • Chiropractor
  • Mount Juliet, TN
National Provider Identifier
1033516331
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2827 Issued in TN
Legal business name
SMITH CHIROPRACTIC & REHABILITATION
Practice address
429 S Rutland Rd
Mount Juliet, TN 37122-4901
Phone
(615) 804-0458
NPI assigned
Dec 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Dr. Matthew Clinton Smith, D.C.NPI 1962809640
Title
Chiropractic Physician
Phone
(615) 804-0458

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2827 TN Primary

Addresses

Primary practice location

429 S Rutland Rd
Mount Juliet, TN 37122-4901

Mailing address

429 S Rutland Rd
Mount Juliet, TN 37122-4901
Phone (615) 804-0458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150223000512 TN Part B Supplier - Clinic/Group Practice 3274858956 Receives reassigned benefits from 2 practitioners
Practice locations: Mt Juliet, TN

National Provider Directory

National Provider Directory

Locations

730 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 758-8560

1400 N Mount Juliet Rd
Ste 104
Mt Juliet, TN 37122
Phone (615) 804-0458

Practitioners & affiliated clinicians

Practitioners 2

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": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1033516331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S RUTLAND RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224901",
            "telephone_number": "615-804-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S RUTLAND RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224901",
            "telephone_number": "615-804-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "615-804-0458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.