Active NPI
Christopher Dewaine Smith, DC
- Chiropractor
- Edenton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3848
- Practice address
- 300 Virginia Rd Ste D
Edenton, NC 27932-9553 - Phone
- (843) 697-8631
- NPI assigned
- Apr 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3848 | NC | Primary |
| Sports Physician Chiropractor | 111NS0005X | 2008-072716 | SC |
Addresses
Primary practice location
300 Virginia Rd Ste D
Edenton, NC 27932-9553
Mailing address
100 River Walk Dr
Simpsonville, SC 29681-5243
Phone (843) 697-8631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Virginia Rd
Suite D
Edenton, NC 27932-9553
Phone (252) 482-4499
744 US Hwy 64 E
Plymouth, NC 27962-9313
Phone (252) 793-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-072716 | SC | MD | Sports Physician Chiropractor |
| 3848 | NC | MD | Occupational Therapy Assistant |
| 3348 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Chiropractic Group, PLLC | Chiropractor | Current | Accepting new patients |
| Miller Chiropractic Group, PA | Chiropractor | Current | Accepting new patients |
| Columbia Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
Locations
300 Virginia Rd
Ste D
Edenton, NC 27932
Phone (252) 482-4499
744 US Highway 64 E
Plymouth, NC 27962
Phone (252) 793-9600
Organizations & group practices 3
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.
-
- Chiropractor
- Edenton, NC
- NPI 1306909619
-
- Chiropractor
- Plymouth, NC
- NPI 1285307868
-
- Chiropractor
- Columbia, NC
- NPI 1629365341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1073787206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RIVER WALK DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296815243",
"telephone_number": "843-697-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 VIRGINIA RD STE D",
"city": "EDENTON",
"state": "NC",
"postal_code": "279329553",
"telephone_number": "843-697-8631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTOPHER",
"middle_name": "DEWAINE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-18",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3848",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "SC",
"license": "2008-072716",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.