William Jacob Smith, D.C

Individual provider Active NPI Chiropractor · Greers Ferry, AR

NPI 1154701480 · NPPES record last updated Oct 29, 2023

Key facts

NPI
1154701480
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
16084 (AR)
Practice address
5 Shiloh Rd
Greers Ferry, AR 72067-9521
Phone
(318) 372-3399
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Shiloh Rd
Greers Ferry, AR 72067-9521
Phone (870) 213-7366

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160125000243 AR Practitioner - Chiropractic 7719280817 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Chiropractic, PLLC Current
since Apr 1, 2017
Accepting new patients
Alan B Carnathan DC PA Chiropractor Past
since Apr 1, 2017
Accepting new patients
Smith Spine and Wellness PLLC Chiropractor Past Accepting new patients

Locations

5 Shiloh Rd
Higden, AR 72067
Phone (501) 825-7200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16084 AR Yes

Addresses

Primary practice location

5 Shiloh Rd
Greers Ferry, AR 72067-9521

Mailing address

PO Box 115
Higden, AR 72067-0115
Phone (501) 825-7200

Other providers in Greers Ferry, AR

All providers in Greers Ferry, AR · Chiropractor in Arkansas

Sources for this page

Verify at the official NPI Registry.