Active NPI
Ryan Smart, DC
- Chiropractor
- Silverdale, WA
National Provider Identifier
1164539896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034623
- Practice address
- 9119 Ridgetop Blvd NW Ste 160
Silverdale, WA 98383-8549 - Phone
- (360) 215-7246
- Fax
- (360) 215-7282
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 | CH00034623 | WA | Primary |
Addresses
Primary practice location
9119 Ridgetop Blvd NW Ste 160
Silverdale, WA 98383-8549
Mailing address
1016 NE Forest Rock LN Ste 105
Poulsbo, WA 98370-9040
Phone (360) 779-5580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164539896 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9119 Ridgetop Blvd NW
Suite 160
Silverdale, WA 98383-8549
Phone (360) 215-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Life Force Chiropractic of Poulsbo Inc | Chiropractor | Past | Accepting new patients |
| Smart Energy Healing LLC | Chiropractor | Past | Accepting new patients |
Locations
1016 NE Forest Rock Ln
Ste 105
Poulsbo, WA 98370
Phone (360) 779-5580
9119 Ridgetop Blvd NW
Ste 160
Silverdale, WA 98383
Phone (360) 215-7246
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.
-
- Chiropractor
- Silverdale, WA
- NPI 1346543394
-
- Chiropractor
- Silverdale, WA
- NPI 1497275978
-
- Chiropractor
- Poulsbo, WA
- NPI 1881752343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1164539896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 NE FOREST ROCK LN STE 105",
"city": "POULSBO",
"state": "WA",
"postal_code": "983709040",
"telephone_number": "360-779-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 RIDGETOP BLVD NW STE 160",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838549",
"telephone_number": "360-215-7246",
"fax_number": "360-215-7282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164539896",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.