Individual provider Active NPI

Tracey Helms Smith, D.C

  • Chiropractor
  • High Point, NC
National Provider Identifier
1245562701
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4064 Issued in NC
Practice address
1623 York Ave
High Point, NC 27265-2311
Phone
(336) 882-2434
NPI assigned
Feb 9, 2010
Last updated
Feb 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4064 NC Primary

Addresses

Primary practice location

1623 York Ave
High Point, NC 27265-2311

Mailing address

1623 York Ave
High Point, NC 27265-2311
Phone (336) 882-2434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100302000794 NC Practitioner - Chiropractic 2365587391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Point Chiropractic IncGroup PAC ID 4183513567, 5 clinicians

Practice addresses (Care Compare)

1623 York Ave
Suite 101
High Point, NC 27265-2355
Phone (336) 882-2434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
High Point Chiropractic Inc Chiropractor CurrentSince Feb 10, 2010 Accepting new patients
Daniel John Fonke Chiropractor Past Accepting new patients

Locations

1623 York Ave
Ste 101
High Point, NC 27265
Phone (336) 882-2434

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1245562701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 YORK AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652311",
            "telephone_number": "336-882-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 YORK AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652311",
            "telephone_number": "336-882-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACEY",
        "middle_name": "HELMS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.