Individual provider Active NPI

Tony Lee Smith, DC, QME

  • Chiropractor
  • Lancaster, CA
National Provider Identifier
1144249707
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 22860 Issued in CA
Practice address
936 W Avenue J4
#104
Lancaster, CA 93534-4246
Phone
(661) 949-6649
Fax
(661) 949-9431
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 22860 CA Primary

Addresses

Primary practice location

936 W Avenue J4
#104
Lancaster, CA 93534-4246

Mailing address

42135 10TH St W
Ste 101
Lancaster, CA 93534-7099
Phone (661) 949-6649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000078 CA Practitioner - Chiropractic 9931374774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avors Medical GroupGroup PAC ID 6901989904, 18 clinicians

Practice addresses (Care Compare)

42135 10TH St W
Suite 101
Lancaster, CA 93534-7099
Phone (661) 726-5005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 22860CAMDChiropractor
22860CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avors Medical Group CurrentSince Jan 10, 2011 Accepting new patients

Locations

42135 10th St W
Ste 101
Lancaster, CA 93534
Phone (661) 341-3800

26357 McBean Pkwy
Ste 225
Valencia, CA 91355
Phone (661) 964-0480

23838 Valencia Blvd
Ste 260
Valencia, CA 91355
Phone (661) 233-4949

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: avors.tonysmith@133862.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1144249707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W",
            "address_2": "STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347099",
            "telephone_number": "661-949-6649",
            "fax_number": "661-949-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W AVENUE J4",
            "address_2": "#104",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344246",
            "telephone_number": "661-949-6649",
            "fax_number": "661-949-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TONY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC, QME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 22860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.