Organization Active NPI

Chris Smith Chiropractic

  • Sports Physician Chiropractor
  • North Charleston, SC
National Provider Identifier
1306008123
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3348 Issued in SC
Legal business name
CHRIS SMITH CHIROPRACTIC
Practice address
283 Dorchester Manor Blvd
North Charleston, SC 29420-8108
Phone
(843) 552-8000
Fax
(843) 552-0093
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Christopher Dewaine Smith, DC
Title
Owner
Phone
(843) 552-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 3348 SC Primary

Addresses

Primary practice location

283 Dorchester Manor Blvd
North Charleston, SC 29420-8108

Mailing address

283 Dorchester Manor Blvd
North Charleston, SC 29420-8108
Phone (843) 552-8000

Other identifiers 1

IdentifierTypeStateIssuer
1073787206MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1306008123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 DORCHESTER MANOR BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208108",
            "telephone_number": "843-552-8000",
            "fax_number": "843-552-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 DORCHESTER MANOR BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208108",
            "telephone_number": "843-552-8000",
            "fax_number": "843-552-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS SMITH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DEWAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-552-8000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "3348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073787206",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.