Active NPI
William David Smith, DC, PT
- Chiropractor
- Sycamore, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038006978
- Practice address
- 445 Alden Dr
Sycamore, IL 60178-8906 - Phone
- (815) 793-1274
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-009548 | IL | |
| Chiropractor | 111N00000X | 038006978 | IL | Primary |
Addresses
Primary practice location
445 Alden Dr
Sycamore, IL 60178-8906
Mailing address
445 Alden Dr
Sycamore, IL 60178-8906
Phone (815) 793-1274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800
2111 Midlands CT
Sycamore, IL 60178-3125
Phone (815) 758-0000
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-009548 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Anesthesia Consultants, Associated | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
2127 Midlands Ct
Unit 203
Sycamore, IL 60178
Phone (815) 758-8106
2111 Midlands Ct
Sycamore, IL 60178
Phone (815) 748-8900
1952 Aberdeen Ct
Sycamore, IL 60178
Phone (815) 758-0000
2111 Midlands Ct
Ste 100
Sycamore, IL 60178
Phone (815) 758-0000
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1033107487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1265547145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 ALDEN DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601788906",
"telephone_number": "815-793-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 ALDEN DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601788906",
"telephone_number": "815-793-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WILLIAM",
"middle_name": "DAVID",
"credential": "DC, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-009548",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038006978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.