Individual provider Active NPI

Douglas Brian Smith Jr., BS DC

  • Chiropractor
  • Warrenton, VA
National Provider Identifier
1285857839
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104002017 Issued in VA
Practice address
225 Oak Springs Drive
Suite 101
Warrenton, VA 20186-2428
Phone
(540) 349-8989
Fax
(540) 349-8207
NPI assigned
Apr 11, 2007
Last updated
Feb 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104002017 VA Primary

Addresses

Primary practice location

225 Oak Springs Drive
Suite 101
Warrenton, VA 20186-2428

Mailing address

225 Oak Springs Drive
Suite 101
Warrenton, VA 20186
Phone (540) 349-8989

Other identifiers 1

IdentifierTypeStateIssuer
371661OtherVAANTHEM BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000080 VA Practitioner - Chiropractic 3779472642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Holiday CT
Suite 106
Warrenton, VA 20186-4349
Phone (540) 349-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Smith, PC Chiropractor CurrentSince Oct 21, 1999 Accepting new patients
Lincare Inc PastSince Oct 21, 1999 Accepting new patients
Blue Ridge Family Care LLC PastSince Nov 1, 2019 Accepting new patients

Locations

225 Oak Springs Dr
Ste 101
Warrenton, VA 20186
Phone (540) 349-8989

400 Holiday Ct
Ste 106
Warrenton, VA 20186
Phone (540) 349-0691

Organizations & group practices 3

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1285857839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 OAK SPRINGS DRIVE",
            "address_2": "SUITE 101",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "20186",
            "telephone_number": "540-349-8989",
            "fax_number": "540-349-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 OAK SPRINGS DRIVE",
            "address_2": "SUITE 101",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862428",
            "telephone_number": "540-349-8989",
            "fax_number": "540-349-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BS DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "371661",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.