Active NPI
Deborah Smith
- Specialist
- Port Orchard, WA
National Provider Identifier
1194929950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00012238
- Practice address
- 1008 Bethel Ave Ste a
Port Orchard, WA 98366-4236 - Phone
- (360) 509-3774
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00012238 | WA | Primary |
Addresses
Primary practice location
1008 Bethel Ave Ste a
Port Orchard, WA 98366-4236
Mailing address
412 SW Lotus CT
Port Orchard, WA 98367-7200
Phone (360) 874-9765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00012238 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Sound Chiropractic Clinic PLLC | Past | Accepting new patients | |
| West Sound Chiropractic, P.S. | Past | Accepting new patients |
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
- Port Orchard, WA
- NPI 1396886495
-
- Chiropractor
- Port Orchard, WA
- NPI 1790077147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194929950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 SW LOTUS CT",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983677200",
"telephone_number": "360-874-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 BETHEL AVE STE A",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983664236",
"telephone_number": "360-509-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DEBORAH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00012238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orchard, WA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.