Michael Anthony Smith, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA840 Issued in ID

Practice address

206 W Ironwood Dr Ste 100
Coeur D Alene, ID 83814-2640

Phone

(208) 765-8061

Fax

(208) 765-1951

NPI assigned

Aug 31, 2006

Last updated

Mar 27, 2008By 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.

• Advanced Health Center PC

  • Chiropractor
  • Coeur d'Alene, ID
  • NPI 1023280278
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1245341056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W IRONWOOD DR STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142640",
            "telephone_number": "208-765-8061",
            "fax_number": "208-765-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W IRONWOOD DR STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142640",
            "telephone_number": "208-765-8061",
            "fax_number": "208-765-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Smith
• Jordan Nichole Smith
• Justin Luke Smith, DO
• Kenneth Adrain Smith, LMT
• Lowell Douglas Smith
• Olivia G Smith, LMSW
• Ruth Smith
• Sharon K Smith
• Tamara L Smith, DIETITIAN
• Zebadiah Smith, DC

• Chiropractor in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.