Joshua Ryan Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13902 Issued in FL

Practice address

2201 62ND Ave N
St Petersburg, FL 33702-5660

Phone

(727) 528-8700

Fax

(727) 528-8585

NPI assigned

Jan 26, 2022

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1255083796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 62ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025660",
            "telephone_number": "727-528-8700",
            "fax_number": "727-528-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 62ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025660",
            "telephone_number": "727-528-8700",
            "fax_number": "727-528-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSHUA",
        "middle_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Susan Smith
• Jason Edward Smith, PHARMD
• Jeffrey Smith
• Jeremy F. Smith, MD
• Jordan Leigh Smith
• Karen Smith
• Kaymeron Smith
• Kerrin R Smith, RPH
• Kynesha Smith, LISW-CP
• Larissa Smith, AP, DOM

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.