Active NPI
Nicholas Desmond Smith
- Chiropractor
- Cape Coral, FL
National Provider Identifier
1194881201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 9320
- Practice address
- 1526 SE 47TH St
Cape Coral, FL 33904-9613 - Phone
- (239) 549-3266
- NPI assigned
- Jan 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 9320 | FL | Primary |
Addresses
Primary practice location
1526 SE 47TH St
Cape Coral, FL 33904-9613
Mailing address
1526 SE 47TH St
Cape Coral, FL 33904-9613
Phone (239) 549-3266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070212000559 | FL | Practitioner - Chiropractic | 2163424698 | Practice locations: Cape Coral, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1526 SE 47TH St
Cape Coral, FL 33904-9613
Phone (239) 549-3266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 9320 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas D. Smith | Chiropractor | Current | Accepting new patients |
| Desmond J Smith | Chiropractor | Past | Accepting new patients |
Locations
1526 SE 47th St
Cape Coral, FL 33904
Phone (239) 549-0854
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.
-
- Chiropractor
- Cape Coral, FL
- NPI 1780262410
-
- Chiropractor
- Cape Coral, FL
- NPI 1306427026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194881201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 SE 47TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339049613",
"telephone_number": "239-549-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 SE 47TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339049613",
"telephone_number": "239-549-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NICHOLAS",
"middle_name": "DESMOND",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 9320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.