Individual provider Active NPI

Keeley Smith, D.C.

  • Chiropractor
  • Cedar Falls, IA
National Provider Identifier
1154735256
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
074275 Issued in IA
Practice address
1001 Hudson Road
Suite a
Cedar Falls, IA 50613-2304
Phone
(319) 277-5616
Fax
(319) 277-0355
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 074275 IA Primary

Addresses

Primary practice location

1001 Hudson Road
Suite a
Cedar Falls, IA 50613-2304

Mailing address

612 5TH St NW
Waverly, IA 50677-2426
Phone (712) 229-1582

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140819000379 IA Practitioner - Chiropractic 8729205562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smith Family Chiropractic PCGroup PAC ID 9638402647, 2 clinicians

Practice addresses (Care Compare)

304 W St
Grinnell, IA 50112-2358
Phone (641) 236-5743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schofield Chiropractic PC Chiropractor CurrentSince Jul 14, 2014 Accepting new patients
Smith Family Chiropractic, P.C. Chiropractor CurrentSince Jun 15, 2019 Accepting new patients
Wolf Hearing Care PLC Past Accepting new patients
B.J.Brown Chiropractic, P.C. Chiropractor PastSince Jan 1, 2001 Accepting new patients

Locations

1001 Hudson Rd
Ste A
Cedar Falls, IA 50613
Phone (319) 260-2155

304 West St
Grinnell, IA 50112
Phone (641) 236-5743

Organizations & group practices 4

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1154735256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 5TH ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772426",
            "telephone_number": "712-229-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HUDSON ROAD",
            "address_2": "SUITE A",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132304",
            "telephone_number": "319-277-5616",
            "fax_number": "319-277-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEELEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "074275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.