Jonathan D Smith, DC W/ PT

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1961 Issued in NM

Practice address

225 E Idaho Ave Ste 30
Las Cruces, NM 88005-3242

Phone

(575) 644-0238

NPI assigned

Oct 19, 2006

Last updated

Jan 30, 2018By the provider in NPPES

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

Enrolled in NM

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• JMS LLC

  dba Smith Wellness

  • Chiropractor
  • Las Cruces, NM
  • NPI 1285132704
  Medicare reassignment NPD Authorized official
• JMS Fam Med LLC

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1194306431
  NPD Authorized official
• Shandon J. Thompson, D.C., P.C.

  dba Loudoun Spine & Sports Group

  • Sports Physician Chiropractor
  • Ashburn, VA
  • NPI 1104082064
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1265514632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 E LOHMAN AVE",
            "address_2": "SUITE 100",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118288",
            "telephone_number": "575-521-0793",
            "fax_number": "575-532-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E IDAHO AVE STE 30",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053242",
            "telephone_number": "575-644-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "DC W/ PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NM",
            "license": "1961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Soto Smith, FOSTER PARENT
• Janine Anne Smith, MS, LMFT
• Jason Smith
• Jason Matthew Smith
• Javed Smith
• Jordan Smith
• Kelsey Marie Smith
• Kimberly Guadalupe Smith
• Laura Lynn Smith, PMHNP
• Lisa Marie Smith, MD

• Sports Physician Chiropractor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Sports Physician Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.