Individual provider Active NPI

Jeffrey Scott Smith, DC

  • Chiropractor
  • Corona, CA
National Provider Identifier
1174248256
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3632 Issued in TN
Practice address
370 W Grand Blvd Ste 101
Corona, CA 92882-2174
Phone
(951) 702-5254
NPI assigned
Oct 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3632 TN Primary

Addresses

Primary practice location

370 W Grand Blvd Ste 101
Corona, CA 92882-2174

Mailing address

370 W Grand Blvd Ste 101
Corona, CA 92882-2174
Phone (619) 962-7202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kidd Chiropractic and Wellness PLLC Chiropractor CurrentSince Dec 14, 2025 Accepting new patients
Community Chiropractic Chiropractor PastSince Oct 22, 2022 Accepting new patients

Locations

8110 US Highway 51 N
Ste 2
Millington, TN 38053
Phone (901) 872-0760

Organizations & group practices 2

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1174248256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W GRAND BLVD STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822174",
            "telephone_number": "619-962-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W GRAND BLVD STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822174",
            "telephone_number": "951-702-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.