Body Smith Chiropractic LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

CH00033924 Issued in WA

Legal business name

BODY SMITH CHIROPRACTIC LLC

Practice address

1818 Westlake Ave N
Ste 330
Seattle, WA 98109-2777

Phone

(206) 216-4416

Fax

(206) 216-4417

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Matthew S Smith, DCNPI 1447285259

Title

Owner

Phone

(206) 216-4416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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.

• Matthew Smith, DC

  • Chiropractor
  • Seattle, WA
  • NPI 1447285259
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1316203540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 WESTLAKE AVE. N",
            "address_2": "SUITE 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092707",
            "telephone_number": "206-216-4416",
            "fax_number": "206-216-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WESTLAKE AVE N",
            "address_2": "STE 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092777",
            "telephone_number": "206-216-4416",
            "fax_number": "206-216-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SMITH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-216-4416",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "CH00033924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J. Bodick, LICSW, RC
• Karli Bodine
• Body Conscious, P.S.
• Body in Balance Acupuncture PLLC
• Body Reflects LLC
• Anjelica Body
• Bodygood Massage Inc
• Bodyvana
• Bodywise LLC (Azula)
• Chelsea Christina Boe, M.D.

• Preferred Provider Organization in Seattle, WA
• Providers in Seattle, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.