NPIMap

Organization Active NPI

Kelly Brett Smith Chiropractic PLLC

  • Chiropractor
  • Sierra Vista, AZ
National Provider Identifier
1295450336
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KELLY BRETT SMITH CHIROPRACTIC PLLC
Doing business as
Kelly Brett Smith Chiropractic PLLC
Practice address
2123 S Highway 92
Sierra Vista, AZ 85635-5269
Phone
(520) 459-5199
Fax
(520) 459-1303
NPI assigned
Oct 11, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Haley Smith
Title
Office Manager
Phone
(520) 678-4070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU

Addresses

Primary practice location

2123 S Highway 92
Sierra Vista, AZ 85635-5269

Mailing address

2123 S Highway 92
Sierra Vista, AZ 85635-5269
Phone (520) 459-5199

Other names 1

  • Kelly Brett Smith Chiropractic PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

2123 S Highway 92
Sierra Vista, AZ 85635
Phone (520) 459-5199

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1295450336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 S HIGHWAY 92",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355269",
            "telephone_number": "520-459-5199",
            "fax_number": "520-459-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 S HIGHWAY 92",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355269",
            "telephone_number": "520-459-5199",
            "fax_number": "520-459-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY BRETT SMITH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-678-4070"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Brett Smith Chiropractic PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.