Organization Active NPI

Smith Chiropractic Rehab & Wellness Center PC

  • Chiropractor
  • Cavalier, ND
National Provider Identifier
1174716237
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
725 Issued in ND
Legal business name
SMITH CHIROPRACTIC REHAB & WELLNESS CENTER PC
Practice address
206 Division Ave
Cavalier, ND 58220
Phone
(209) 723-6450
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Dennis T Smith, DC DACNBNPI 1760580294
Title
President
Phone
(209) 723-6450

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 725 ND Primary

Addresses

Primary practice location

206 Division Ave
Cavalier, ND 58220

Mailing address

PO Box 54
Cavalier, ND 58220
Phone (209) 723-6450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1174716237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "58220",
            "telephone_number": "209-723-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 DIVISION AVE",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "58220",
            "telephone_number": "209-723-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC REHAB & WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-723-6450",
        "authorized_official_credential": "DC DACNB"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cavalier, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.