Active NPI
Steven Lange Smith, D.C
- Chiropractor
- Hickory, NC
National Provider Identifier
1164518536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 200001310668
- Practice address
- 256 Third Ave NW
Hickory, NC 28601 - Phone
- (828) 323-8998
- Fax
- (828) 322-8063
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 200001310668 | NC | Primary |
Addresses
Primary practice location
256 Third Ave NW
Hickory, NC 28601
Mailing address
256 Third Ave NW
Hickory, NC 28601
Phone (828) 323-8998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0879-C | Other | NC | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
256 3Rd Ave NW
Suite a
Hickory, NC 28601-4962
Phone (828) 323-8998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000 | NC | MD | Behavioral Analyst |
| 200001310668 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hickory Chiropractic Clinic PLLC | Current | Accepting new patients |
Locations
256 3rd Ave NW
Ste A
Hickory, NC 28601
Phone (828) 323-8998
Organizations & group practices 1
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.
-
- Health Maintenance Organization
- Hickory, NC
- NPI 1063701795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1164518536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 THIRD AVE NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "28601",
"telephone_number": "828-323-8998",
"fax_number": "828-322-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 THIRD AVE NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "28601",
"telephone_number": "828-323-8998",
"fax_number": "828-322-8063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "STEVEN",
"middle_name": "LANGE",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "200001310668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0879-C",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.