Khadeeja Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S04086 Issued in MD

Practice address

8855 Annapolis Rd Ste 112
Lanham, MD 20706-2962

Phone

(301) 284-8869

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1306502026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 W SIDE BLVD APT 304",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076270",
            "telephone_number": "516-402-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 ANNAPOLIS RD STE 112",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062962",
            "telephone_number": "301-284-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KHADEEJA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chynna Smith-Bateman
• Brian Paul Smith, ATC
• Donald Smith
• Elliece Saundle Smith, M.D.
• Issa Alexandra Smith, MA, CCC-SLP
• Nyjha Vareen Smith
• Ranecia Smith, LMT
• William Crawford Smith
• Lydia N Sofi
• Rhoda Zombong Sofi

• Chiropractor in Lanham, MD
• Providers in Lanham, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.