Organization Active NPI

Bobby Smith Professional Chiropractic Corporation

  • Rehabilitation Chiropractor
  • Fontana, CA
National Provider Identifier
1114360062
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC25275 Issued in CA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Mr. Bobby Lawrence SmithNPI 1114137742
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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.