Allyn Neill Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006171 Issued in MO

Practice address

1802 N Woodbine Rd
St Joseph, MO 64506

Phone

(816) 232-5113

Fax

(816) 232-0453

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Plus Rehabilitation Center LLCGroup PAC ID 5294791695, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Performance Plus Rehabilitation Center LLC

  • Chiropractor
  • St. Joseph, MO
  • NPI 1962624510
  Medicare reassignment Care Compare group NPD
• Performance Plus Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MO
  • NPI 1174864763
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1194757229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063667",
            "telephone_number": "816-232-5113",
            "fax_number": "816-232-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N WOODBINE RD",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-232-5113",
            "fax_number": "816-232-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALLYN",
        "middle_name": "NEILL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350050985",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "757861505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SJ3 Op Riverside LLC
• Holly Skocny, FNP
• Evan Richard Slanczka, D.O.
• Smart Plate Nutrition LLC
• Allison Mae Smith, APRN
• Amber Dawn Smith, MSN, APRN, FNP-BC
• Bruce D Smith, M.D.
• Caden Tyler Smith
• Cyrus Daniel Smith, D.O.
• Deanna Smith, LPC

• Chiropractor in St Joseph, MO
• Providers in St Joseph, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.