Individual provider Active NPI

Gary L Smith, DC

  • Chiropractor
  • Camas, WA
National Provider Identifier
1205805975
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 2622 Issued in WA
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

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2622ORMDClinical Psychologist
27 2622WAMDChiropractor
CH00003521WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Darling Chiropractic Services, PC Chiropractor PastSince May 7, 2010 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.

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.

Verify at the official NPI Registry.