Cecil Paul Smith, D.C.

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

4518 Issued in TX

Practice address

2695 Villa Creek Dr
#145
Dallas, TX 75234-7328

Phone

(972) 698-8888

NPI assigned

Oct 26, 2009

Last updated

Oct 26, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smith Chiropractic, Inc.

  • Chiropractor
  • Grand Prairie, TX
  • NPI 1194053025
  Authorized official Same address or phone

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1316273329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 VILLA CREEK DR",
            "address_2": "#145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347328",
            "telephone_number": "972-698-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 VILLA CREEK DR",
            "address_2": "#145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347328",
            "telephone_number": "972-698-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CECIL",
        "middle_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "TX",
            "license": "4518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "L53B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Princele Smith, D.D.S.
• Carolyn Ann Smith, MD
• Carrie Tuckness Smith, RN
• Casey Chauffe Smith
• Casey Ryan Smith, ATC
• Charlotte Smith, LPC
• Chatria Smith
• Chrissy Smith
• Christie Darie Smith
• Christina Hawkins Smith

• Independent Medical Examiner Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Independent Medical Examiner Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.