Organization Active NPI

Smith Chiropractic Clinic, Inc.

  • Orthopedic Chiropractor
  • Pasadena, CA
National Provider Identifier
1215383922
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC12544 Issued in CA
Legal business name
SMITH CHIROPRACTIC CLINIC, INC.
Practice address
131 N El Molino Ave
Suite 180
Pasadena, CA 91101-1873
Phone
(626) 792-1221
Fax
(626) 792-0082
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Mrs. Robin Darcy Smith
Title
Authorized Official
Phone
(626) 792-1221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X DC12544 CA Primary

Addresses

Primary practice location

131 N El Molino Ave
Suite 180
Pasadena, CA 91101-1873

Mailing address

131 N El Molino Ave
Suite 180
Pasadena, CA 91101-1873
Phone (626) 792-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160718001956 CA Part B Supplier - Clinic/Group Practice 5294028999 Receives reassigned benefits from 4 practitioners
Practice locations: Pasadena, CA; Ontario, CA

National Provider Directory

National Provider Directory

Locations

3480 E Ontario Ranch Rd
Ste 2A
Ontario, CA 91761
Phone (626) 757-1539

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1215383922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EL MOLINO AVE",
            "address_2": "SUITE 180",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011873",
            "telephone_number": "626-792-1221",
            "fax_number": "626-792-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EL MOLINO AVE",
            "address_2": "SUITE 180",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011873",
            "telephone_number": "626-792-1221",
            "fax_number": "626-792-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DARCY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "626-792-1221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC12544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.