Active NPI
Gary L Smith, DC
- Chiropractor
- Camas, WA
National Provider Identifier
1205805975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 2622
- Practice address
- 337 NE 5TH Ave
Camas, WA 98607-2033 - Phone
- (360) 834-7533
- Fax
- (360) 834-3084
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 27 2622 | WA | Primary |
| Chiropractor | 111N00000X | CH00003521 | WA |
Addresses
Primary practice location
337 NE 5TH Ave
Camas, WA 98607-2033
Mailing address
337 NE 5TH Ave
Camas, WA 98607-2030
Phone (360) 834-7533
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2622 | OR | MD | Clinical Psychologist |
| 27 2622 | WA | MD | Chiropractor |
| CH00003521 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darling Chiropractic Services, PC | Chiropractor | Past | Accepting new patients |
| Anesthesia Associates Northwest LLC | 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.
-
dba Camas Family Health Center, PC
- Chiropractor
- Camas, WA
- NPI 1568568848
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1205805975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 NE 5TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072030",
"telephone_number": "360-834-7533",
"fax_number": "360-834-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 NE 5TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072033",
"telephone_number": "360-834-7533",
"fax_number": "360-834-3084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GARY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "27 2622",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003521",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.