Smith Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

953 Issued in NC

Legal business name

SMITH CHIROPRACTIC CLINIC PC

Practice address

239 Branchview Dr NE
Concord, NC 28025-3416

Phone

(704) 788-3126

Fax

(704) 788-2516

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

William A Smith, D.C.NPI 1942204789

Title

President

Phone

(704) 788-3126

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: dr.andy@scc0004.direct.chirotouch.md

Practitioners 1

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

• William Andrew Smith, D.C.

  • Chiropractor
  • Concord, NC
  • NPI 1942204789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1184837817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BRANCHVIEW DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253416",
            "telephone_number": "704-788-3126",
            "fax_number": "704-788-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 BRANCHVIEW DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253416",
            "telephone_number": "704-788-3126",
            "fax_number": "704-788-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-788-3126",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905934",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quanita Small
• Sherell Denise Smalls, MSW
• James Smallwood
• Mark Anthony Smiley, M.D.
• Sandra Veniece Smiley, LPN
• Smith Family Community Services LLC
• Smith Family Community Services LLC
• Shari Lynn Smith-Chaney
• Andrea Smith
• Andrew Douglas Smith, LCMHCA,LPC

• Chiropractor in Concord, NC
• Providers in Concord, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.