Active NPI
Bobby Smith Professional Chiropractic Corporation
- Rehabilitation Chiropractor
- Fontana, CA
National Provider Identifier
1114360062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC25275
- Legal business name
- BOBBY SMITH PROFESSIONAL CHIROPRACTIC CORPORATION
- Practice address
- 8832 Sierra Ave
Fontana, CA 92335-8649 - Phone
- (909) 854-4900
- Fax
- (909) 854-4996
- NPI assigned
- Apr 10, 2013
- Last updated
- Sep 16, 2026
- 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
- Mr. Bobby Lawrence Smith
- Title
- Owner
- Phone
- (909) 854-4900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC25275 | CA | Primary |
Addresses
Primary practice location
8832 Sierra Ave
Fontana, CA 92335-8649
Mailing address
8832 Sierra Ave
Fontana, CA 92335-8649
Phone (909) 854-4900
National Provider Directory
National Provider DirectoryLocations
8832 Sierra Ave
Fontana, CA 92335
Phone (909) 854-4900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rehabilitation Chiropractor
- Fontana, CA
- NPI 1114137742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1114360062",
"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": {
"organization_name": "BOBBY SMITH PROFESSIONAL CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-10",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-854-4900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC25275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.