NPIMap

Organization Active NPI

Active Spine Center, LLC

  • Neurology Chiropractor
  • Titusville, FL
National Provider Identifier
1164664223
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH8721 Issued in FL
Legal business name
ACTIVE SPINE CENTER, LLC
Practice address
2215 Garden St
Titusville, FL 32796-2543
Phone
(213) 268-2210
Fax
(321) 325-2100
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Dr. Steven Louis Smith, DCNPI 1821058983
Title
Chiropractic Physician
Phone
(321) 268-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X CH8721 FL Primary

Addresses

Primary practice location

2215 Garden St
Titusville, FL 32796-2543

Mailing address

2215 Garden St
Titusville, FL 32796-2543
Phone (213) 268-2210

Other identifiers 3

IdentifierTypeStateIssuer
1043086515OtherFLCHIROPRACTIC
1821058983OtherFLCHIROPRACTIC
1083662993OtherFLCHIROPRACTIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000449 FL Part B Supplier - Clinic/Group Practice 0244213593 Receives reassigned benefits from 3 practitioners
Practice locations: Titusville, FL

National Provider Directory

National Provider Directory

Locations

2425 N Courtenay Pkwy
Ste 106
Merritt Island, FL 32953
Phone (321) 961-4768

2215 Garden St
Titusville, FL 32796
Phone (321) 268-2210

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1164664223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962543",
            "telephone_number": "213-268-2210",
            "fax_number": "321-325-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962543",
            "telephone_number": "213-268-2210",
            "fax_number": "321-325-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "321-268-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH8721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "1043086515",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "1821058983",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "1083662993",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.