Fredrick Jennings Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7339 Issued in TX

Practice address

5801 W Interstate 40
Suite 103
Amarillo, TX 79106

Phone

(806) 433-5234

NPI assigned

Dec 17, 2009

Last updated

Dec 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amarillo Chiropractic Center, PLLC

  • Chiropractor
  • Amarillo, TX
  • NPI 1003176199
  Authorized official Same address or phone

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1205165446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 20931",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79114",
            "telephone_number": "806-683-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 W INTERSTATE 40",
            "address_2": "SUITE 103",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-433-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FREDRICK",
        "middle_name": "JENNINGS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denis Craig Smith, LICENSED DISPENSER
• Earl C Smith Jr., M.D.
• Elizabeth Hagen Smith, LPC
• Eric Wayne Smith
• Flint Taylor Smith, MD
• Jason Smith
• Jennifer Smith
• Kenda C Smith, RN
• Lexie Dawn Smith, FNP
• Michelle Smith, NP

• Chiropractor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.