Trek Robert Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005737 Issued in GA

Practice address

1919 Glynn Ave Ste 8
Brunswick, GA 31520-6140

Phone

(912) 466-9945

Fax

(912) 280-9490

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1154346187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 GLYNN AVE STE 8",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206140",
            "telephone_number": "912-466-9945",
            "fax_number": "912-280-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 GLYNN AVE STE 8",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206140",
            "telephone_number": "912-466-9945",
            "fax_number": "912-280-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TREK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00849098A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffry Michael Smith, D.C.
• Judith Tessa Smith, LAPC
• Robert Smith, D.D.S.
• Sharon Gulledge Smith, RN
• Thomas Iverson Smith, D.M.D.
• Colleen Snow, LCSW
• SNS Transportation LLC
• Willard Alexander Snyder Jr., M.D.
• Solar Family Practice
• Solar Family Practice and Pain Management

• Chiropractor in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.