Carolyn L. Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5064 Issued in CO

Practice address

6677 Leetsdale Dr
#100
Denver, CO 80224-1587

Phone

(303) 399-7301

Fax

(303) 991-0576

NPI assigned

Dec 28, 2006

Sex

Female

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.

• Proactive Chiropractic LLC

  • Chiropractor
  • Fort Morgan, CO
  • NPI 1215187737
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1083770705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 LEETSDALE DR #100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241587",
            "telephone_number": "720-236-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 LEETSDALE DR",
            "address_2": "#100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241587",
            "telephone_number": "303-399-7301",
            "fax_number": "303-991-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLYN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennan Smith, MD
• Brian Richard Smith, M.D.
• Caileigh Natalia Smith
• Carlee Smith
• Carolyn Jane Smith, O.D.
• Casey Smith, REGISTERED NURSE
• Cecilia Marie Smith, MSN
• Cheyenne Wayne Smith, MD
• Christa Smith, PSY.D.
• Clark Samuel Smith, M.D.

• Chiropractor in Denver, CO
• Providers in Denver, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.