Bobby Lawrence Smith, CHIROPRACTOR

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC25275 Issued in CA

Practice address

8832 Sierra Ave
Fontana, CA 92335-8649

Phone

(909) 854-4900

Fax

(909) 854-4996

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bobby Smith Professional Chiropractic Corporation

  • Rehabilitation Chiropractor
  • Fontana, CA
  • NPI 1114360062
  Authorized official Same address or phone
• Desert Cornerstone Health Inc

  dba Palm Springs Chiropractic

  • Chiropractor
  • Palm Springs, CA
  • NPI 1831087261
  NPD
• Go Healthcare, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Palm Desert, CA
  • NPI 1588927438
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114137742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8832 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358649",
            "telephone_number": "909-854-4900",
            "fax_number": "909-854-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8832 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358649",
            "telephone_number": "909-854-4900",
            "fax_number": "909-854-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BOBBY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC25275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisreen Sloulin, OD
• Brandon James Smallwood
• Kyle N Smart, DO
• Smi Transportation Service Inc.
• Richard M Smiley, OD
• Chandra Smith, M.S.
• Christine L Smith, LCSW
• Elizabeth B. Smith, MD
• Garran Alexander Smith
• Jacqueline L Smith

• Rehabilitation Chiropractor in Fontana, CA
• Providers in Fontana, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.