Individual provider Active NPI

David Smith, DC

  • Chiropractor
  • Quincy, MA
National Provider Identifier
1043232242
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2379 Issued in MA
Practice address
111 Willard St
Suite 2a
Quincy, MA 02169-1200
Phone
(617) 471-4491
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2379 MA Primary

Addresses

Primary practice location

111 Willard St
Suite 2a
Quincy, MA 02169-1200

Mailing address

111 Willard St Ste 2a
Quincy, MA 02169-1274
Phone (617) 471-4491

Other practice location 1

450 William S Canning Blvd Unit 3
Fall River, MA 02721-5603
Phone (774) 520-0033

Other identifiers 5

IdentifierTypeStateIssuer
2345793OtherMAAETNA
351168OtherMAHARVARD PILGRIM HEALTH
002379OtherMATUFTS HEALTH PLAN
043158763OtherMAUNITED HEALTHCARE
Y36817OtherMABCBSMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110001020 MA Practitioner - Chiropractic 1153384060 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Chiropractor CurrentSince Jul 1, 2019 Accepting new patients
Bay State Physical Therapy of Randolph Inc Chiropractor Past Accepting new patients

Locations

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

450 William S Canning Blvd
Unit 3
Fall River, MA 02721
Phone (774) 520-0033

375 Faunce Corner Rd
Ste C
North Dartmouth, MA 02747
Phone (774) 425-7906

111 Willard St
Ste 2A
Quincy, MA 02169
Phone (617) 471-4491

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

75 Finnell Dr
Weymouth, MA 02188
Phone (781) 335-1151

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1043232242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST STE 2A",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691274",
            "telephone_number": "617-471-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST",
            "address_2": "SUITE 2A",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691200",
            "telephone_number": "617-471-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 William S Canning Blvd Unit 3",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027215603",
            "country_code": "US",
            "telephone_number": "774-520-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2345793",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "351168",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "002379",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "043158763",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "Y36817",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.