Smith Chiropractic Clinic, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2245 Issued in TN

Legal business name

SMITH CHIROPRACTIC CLINIC, PLLC

Practice address

258 W Main St
B
Camden, TN 38320-1644

Phone

(731) 584-7224

Fax

(731) 584-7226

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Micah Troy Smith, D.C.NPI 1427236249

Title

Chiropractic Physician

Phone

(731) 584-7224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Micah Smith, D.C.

  • Chiropractor
  • Dickson, TN
  • NPI 1427236249
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1154591899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 W MAIN ST",
            "address_2": "B",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201644",
            "telephone_number": "731-584-7224",
            "fax_number": "731-584-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 W MAIN ST",
            "address_2": "B",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201644",
            "telephone_number": "731-584-7224",
            "fax_number": "731-584-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "731-584-7224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "2245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nicole Roberson, RN
• Tara Marie Roberts, FNP-C
• Roy L. Dedmon
• Emma W Scott, OD
• Poshia Slusher, FNP-BC
• Grace Marie Smith, LMT
• Marcelle Smith, DPH
• Deborah T Smothers, F.N.P.
• State of Tennessee
• Leigh Danielle Sturdivant, DPH

• Clinic/Center in Camden, TN
• Providers in Camden, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.