Individual provider Active NPI

Delia Smith, DC, LAT, ATC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1093297426
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2023046993 Issued in MO
Practice address
1099 Milwaukee St Ste 240
Saint Louis, MO 63122-7360
Phone
(314) 822-1502
NPI assigned
Sep 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7117 MN
Athletic Trainer 2255A2300X 2020009473 MO
Athletic Trainer 2255A2300X 3692 MN
Chiropractor 111N00000X 2023046993 MO Primary

Addresses

Primary practice location

1099 Milwaukee St Ste 240
Saint Louis, MO 63122-7360

Mailing address

10 E 68TH Ter
Kansas City, MO 64113-2464
Phone (816) 914-8157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023046993MOMDChiropractor
3692MNMDRegistered Dietitian
2020009473MOMDAthletic Trainer
7117MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Drsmith DC/Atc LLC Chiropractor CurrentSince Dec 17, 2023 Accepting new patients

Locations

1099 Milwaukee St
Ste 240
Saint Louis, MO 63122
Phone (314) 822-1001

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1093297426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 68TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132464",
            "telephone_number": "816-914-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MILWAUKEE ST STE 240",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631227360",
            "telephone_number": "314-822-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DELIA",
        "credential": "DC, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-01",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7117",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2020009473",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "3692",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023046993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.