Individual provider Active NPI

Gregory Lee Smith, D.C.

  • Chiropractor
  • North Port, FL
National Provider Identifier
1295875441
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8938 Issued in FL
Practice address
14888 Tamiami Trail
North Port, FL 34287-2701
Phone
(941) 423-2667
Fax
(941) 423-3502
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8938 FL Primary

Addresses

Primary practice location

14888 Tamiami Trail
North Port, FL 34287-2701

Mailing address

14888 Tamiami Trail
North Port, FL 34287-2701
Phone (941) 423-2667

Other identifiers 1

IdentifierTypeStateIssuer
83000OtherFLPROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050721000121 FL Practitioner - Chiropractic 4880621861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Rubin Chiropractic PLLCGroup PAC ID 1355775115, 2 clinicians
Platinum Healthcare Physical Medicine, PLLCGroup PAC ID 8224160973, 8 clinicians

Practice addresses (Care Compare)

14888 Tamiami TRL
North Port, FL 34287-2701
Phone (941) 423-2667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8938FLMDChiropractor
4507SCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Rubin Chiropractic PLLC Chiropractor CurrentSince Apr 19, 2021 Accepting new patients
Joseph P Hornberger Ms DC PA Chiropractor PastSince Dec 6, 2004 Accepting new patients
Sunshine Therapy Associates, Inc. Past Accepting new patients

Locations

14888 Tamiami Trl
North Port, FL 34287
Phone (941) 423-2667

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1295875441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14888 TAMIAMI TRAIL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872701",
            "telephone_number": "941-423-2667",
            "fax_number": "941-423-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14888 TAMIAMI TRAIL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872701",
            "telephone_number": "941-423-2667",
            "fax_number": "941-423-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "83000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.