Organization Active NPI

Smith Family Chiropractic LLC

  • Chiropractor
  • Fountain Hills, AZ
National Provider Identifier
1144570482
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5498 Issued in AZ
Legal business name
SMITH FAMILY CHIROPRACTIC LLC
Practice address
11673 N Saguaro Blvd
Fountain Hills, AZ 85268-4630
Phone
(480) 837-2600
Fax
(480) 837-2211
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Dr. Grant Patrick Smith, D.C.NPI 1871660423
Title
Owner
Phone
(480) 837-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5498 AZ Primary

Addresses

Primary practice location

11673 N Saguaro Blvd
Fountain Hills, AZ 85268-4630

Mailing address

11673 N Saguaro Blvd
Fountain Hills, AZ 85268-4630
Phone (480) 837-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160930001908 AZ Part B Supplier - Clinic/Group Practice 7618264839 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Hills, AZ

National Provider Directory

National Provider Directory

Locations

11673 N Saguaro Blvd
Fountain Hls, AZ 85268
Phone (480) 837-2600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1144570482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 N SAGUARO BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684630",
            "telephone_number": "480-837-2600",
            "fax_number": "480-837-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 N SAGUARO BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684630",
            "telephone_number": "480-837-2600",
            "fax_number": "480-837-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-837-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.