Active NPI
Wayne S. Smith, DC PS
- Chiropractor
- Pasco, WA
National Provider Identifier
1083821706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002790
- Legal business name
- WAYNE S. SMITH, DC PS
- Practice address
- 1211 N 20TH Ave
Pasco, WA 99301-4051 - Phone
- (509) 547-1759
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wayne S Smith, DC
- Title
- Owner
- Phone
- (509) 547-1759
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002790 | WA | Primary |
Addresses
Primary practice location
1211 N 20TH Ave
Pasco, WA 99301-4051
Mailing address
1211 N 20TH Ave
Pasco, WA 99301-4051
Phone (509) 547-1759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020519 | Medicaid | WA |
Other names 1
- Abundant Life Family Chiropractic
National Provider Directory
National Provider DirectoryLocations
1211 N 20th Ave
Pasco, WA 99301
Phone (509) 547-1759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083821706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N 20TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993014051",
"telephone_number": "509-547-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N 20TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993014051",
"telephone_number": "509-547-1759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE S. SMITH, DC PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-547-1759",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2020519",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Abundant Life Family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.