Mark A Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5040 Issued in FL

Practice address

1404 Del Prado Blvd S
Suite 110
Cape Coral, FL 33990-3774

Phone

(239) 772-3232

Fax

(239) 458-3272

NPI assigned

Apr 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icpandr Associates, Inc.Group PAC ID 7113180985, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Icp&R Associates, Inc.

  • Family Medicine Physician
  • Cape Coral, FL
  • NPI 1689839573

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• Island Coast Pain & Rehabilitation Associates, Inc.

  • Family Medicine Physician
  • Cape Coral, FL
  • NPI 1457316275

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1255396990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 DEL PRADO BLVD S",
            "address_2": "STE 302",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903601",
            "telephone_number": "239-772-3232",
            "fax_number": "239-458-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 DEL PRADO BLVD S",
            "address_2": "SUITE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903774",
            "telephone_number": "239-772-3232",
            "fax_number": "239-458-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380840800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleanor Valerie Smith, PH.D.
• Hillary L Smith, PHD
• Jeffrey Smith, M.D.
• Jonah James Smith
• Kierston Hailey Smith
• Monique Dana Smith, LMFT, IMH
• Nicholas Desmond Smith
• Rachel Creath Smith, PA-C
• Rodney J Smith, O.D.
• Yalily Perez Smith, LCSW

• Chiropractor in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.