Nicholas Smith, D.C

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CHI-CHI-LIC-8719 Issued in MT

Practice address

2801 Great Northern Loop Ste 120
Missoula, MT 59808-1975

Phone

(518) 588-4369

NPI assigned

Feb 26, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1073379137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 GREAT NORTHERN LOOP STE 120",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081975",
            "telephone_number": "518-588-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 GREAT NORTHERN LOOP STE 120",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081975",
            "telephone_number": "518-588-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-8719",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MT",
            "license": "CHI-CHI-LIC-8719",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "CHI-CHI-LIC-8719",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MT",
            "license": "CHI-CHI-LIC-8719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannine G Smith, DC
• Jennifer Kate Smith, LCSW, LAC
• Kyle Charles Smith, D.O.
• Leah Nicole Smith, MAT, ATC, CSCS
• Marianne Smith, LCPC
• Paul G Smith, DO
• Raymond Joshua Smith, APRN
• Richard L Smith, PT
• Rozanne Smith, LMT
• Stephen Dale Smith, M.D.

• Neurology Chiropractor in Missoula, MT
• Providers in Missoula, MT by specialty
• Neurology Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.