Cody Glenn Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4357 Issued in OH

Practice address

25 Haverstraw PL
Springboro, OH 45066-7116

Phone

(937) 505-7673

NPI assigned

Feb 6, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peak Performance Chiropractic Clinic

  • Chiropractor
  • West Chester, OH
  • NPI 1871151449
  NPD (past) Authorized official
• Zumberger Chiropractic LLC

  • Chiropractor
  • West Chester, OH
  • NPI 1013573401
  NPD (past)

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1063751311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 MUHLHAUSER RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694988",
            "telephone_number": "513-445-8654",
            "fax_number": "513-445-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HAVERSTRAW PL",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667116",
            "telephone_number": "937-505-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CODY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Siebenaller
• Laura Siegmann
• Sukirtharan Sinnathamby, MD
• James Frank Slaughenhaupt II, DO
• Sleep Wellness LLC
• Kimberly D Smith, O.D.
• Michelle Smith, MD
• Robert J. Smith, DO
• Erica G Snider-Thammavong, MD
• Sole Proprietorship

• Chiropractor in Springboro, OH
• Providers in Springboro, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.