NPIMap

Organization Active NPI

Smith Chiropractic Inc

  • Chiropractor
  • Bremerton, WA
National Provider Identifier
1164757555
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034396 Issued in WA
Legal business name
SMITH CHIROPRACTIC INC
Practice address
1100 Wheaton Way
Suite B
Bremerton, WA 98310-4459
Phone
(360) 373-8899
Fax
(360) 373-8891
NPI assigned
Oct 2, 2009
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Dr. Graeme P Smith, D.C.NPI 1841374071
Title
Chiropractor
Phone
(360) 373-8899

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
Chiropractor 111N00000X CH00034396 WA Primary

Addresses

Primary practice location

1100 Wheaton Way
Suite B
Bremerton, WA 98310-4459

Mailing address

1100 Wheaton Way
Suite B
Bremerton, WA 98310-4459
Phone (360) 373-8899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091020000096 WA Part B Supplier - Clinic/Group Practice 5092852335 Receives reassigned benefits from 3 practitioners
Practice locations: Bremerton, WA

National Provider Directory

National Provider Directory

Locations

1100 Wheaton Way
Ste B
Bremerton, WA 98310
Phone (360) 373-8899

1487 NE Dawn Rd
Bremerton, WA 98311
Phone (360) 373-8899

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1164757555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WHEATON WAY",
            "address_2": "SUITE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104459",
            "telephone_number": "360-373-8899",
            "fax_number": "360-373-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WHEATON WAY",
            "address_2": "SUITE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104459",
            "telephone_number": "360-373-8899",
            "fax_number": "360-373-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GRAEME",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-373-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.