Active NPI
Chris Smith Chiropractic
- Sports Physician Chiropractor
- North Charleston, SC
National Provider Identifier
1306008123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 3348
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073787206 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI 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.