Individual provider Active NPI

Gary F Smith, DC

  • Chiropractor
  • Maumee, OH
National Provider Identifier
1154371573
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1647 Issued in OH
Practice address
1574 Henthorne Dr Ste C
Maumee, OH 43537-3921
Phone
(419) 517-1737
Fax
(419) 517-0108
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1647 OH Primary

Addresses

Primary practice location

1574 Henthorne Dr Ste C
Maumee, OH 43537-3921

Mailing address

1574 Henthorne Dr Ste C
Maumee, OH 43537-3921
Phone (419) 517-1737

Other identifiers 3

IdentifierTypeStateIssuer
000000208590OtherOHANTHEM PIN#
0911526MedicaidOH
350051747OtherOHRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317001864 OH Practitioner - Chiropractic 6406887116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health and Pain Care LLCGroup PAC ID 1153718226, 2 clinicians

Practice addresses (Care Compare)

4334 W Central Ave
Suite 210
Toledo, OH 43615-1679
Phone (419) 517-1737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1647OHMDChiropractor
DC-01647OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Pain Care LLC CurrentSince Aug 26, 2021 Accepting new patients
Inner Health Chiropractic North, LLC Chiropractor Past Accepting new patients

Locations

1574 Henthorne Dr
Ste C
Maumee, OH 43537
Phone (419) 517-1737

4334 W Central Ave
Ste 210
Toledo, OH 43615
Phone (419) 517-1737

Organizations & group practices 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1154371573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 HENTHORNE DR STE C",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373921",
            "telephone_number": "419-517-1737",
            "fax_number": "419-517-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 HENTHORNE DR STE C",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373921",
            "telephone_number": "419-517-1737",
            "fax_number": "419-517-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GARY",
        "middle_name": "F",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN#",
            "identifier": "000000208590",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911526",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350051747",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.