Guy Bates Smith, D.C.
Individual provider Active NPI Chiropractor · Salem, AR
NPI 1124076567 · NPPES record last updated Jun 17, 2011
Key facts
- NPI
- 1124076567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 958 (AR)
- Practice address
- 118 S. Main Street
Salem, AR 72576-0306 - Phone
- (870) 895-2606
- Fax
- (870) 895-2607
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 958 | AR | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 958 | AR | Yes |
Addresses
Primary practice location
118 S. Main Street
Salem, AR 72576-0306
Mailing address
PO Box 306
Salem, AR 72576-0306
Phone (870) 895-2606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111747718 | Medicaid | AR |
Other providers in Salem, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.