Individual provider Active NPI

Oliver Roy Smith III, D.C.

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1194048850
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11286 Issued in TX
Practice address
1417 Brown St.
El Paso, TX 79902
Phone
(915) 533-2225
Fax
(915) 533-0974
NPI assigned
Mar 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11286 TX Primary

Addresses

Primary practice location

1417 Brown St.
El Paso, TX 79902

Mailing address

1417 Brown St.
El Paso, TX 79902
Phone (915) 533-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000191 TX Practitioner - Chiropractic 7214061407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Smith Chiropractic LLCGroup PAC ID 7315071503, 2 clinicians

Practice addresses (Care Compare)

1417 Brown St
El Paso, TX 79902-4720
Phone (915) 533-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11286TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Chiropractic LLC Chiropractor CurrentSince Mar 10, 2010 Accepting new patients

Locations

1417 Brown St
El Paso, TX 79902
Phone (915) 533-2225

Organizations & group practices 1

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": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1194048850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 BROWN ST.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-533-2225",
            "fax_number": "915-533-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BROWN ST.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-533-2225",
            "fax_number": "915-533-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "OLIVER",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.