Active NPI
Terry A Smedstad, DC
- Chiropractor
- Houston, TX
National Provider Identifier
1114988284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2751
- Practice address
- 4801 Woodway Dr
Suite 175-E
Houston, TX 77056-1813 - Phone
- (713) 622-2225
- Fax
- (713) 622-1031
- NPI assigned
- Mar 29, 2006
- Last updated
- Jul 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2751 | TX | Primary |
Addresses
Primary practice location
4801 Woodway Dr
Suite 175-E
Houston, TX 77056-1813
Mailing address
4801 Woodway Dr
Suite 175-E
Houston, TX 77056-1813
Phone (713) 622-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G2970 | Other | TX | BLUE CROSS BLUE SHEILD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2751 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1114988284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 WOODWAY DR",
"address_2": "SUITE 175-E",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770561813",
"telephone_number": "713-622-2225",
"fax_number": "713-622-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 WOODWAY DR",
"address_2": "SUITE 175-E",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770561813",
"telephone_number": "713-622-2225",
"fax_number": "713-622-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMEDSTAD",
"first_name": "TERRY",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "8G2970",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.