Individual provider Active NPI

Walton Ariail Smith, CHIROPRACTOR

  • Chiropractor
  • Johnston, SC
National Provider Identifier
1316974710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1334 Issued in SC
Practice address
101 Slide Hill Road
Johnston Chirporactic Clinic
Johnston, SC 29832
Phone
(803) 275-2225
Fax
(803) 275-9333
NPI assigned
Jun 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1334 SC Primary

Addresses

Primary practice location

101 Slide Hill Road
Johnston Chirporactic Clinic
Johnston, SC 29832

Mailing address

101 Slide Hill Road
Johnston, SC 29832
Phone (803) 275-2225

Other identifiers 1

IdentifierTypeStateIssuer
CH1334MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908001125 SC Practitioner - Chiropractic 1254307473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1334SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walton a Smith Chiropractor CurrentSince Apr 1, 2014 Accepting new patients
Walton a Smith Chiropractor CurrentSince Apr 1, 2014 Accepting new patients

Locations

101 Slide Hill Rd
Johnston, SC 29832
Phone (803) 275-2225

108 N Jennings St
Saluda, SC 29138
Phone (864) 445-3949

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316974710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SLIDE HILL ROAD",
            "city": "JOHNSTON",
            "state": "SC",
            "postal_code": "29832",
            "telephone_number": "803-275-2225",
            "fax_number": "803-275-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SLIDE HILL ROAD",
            "address_2": "JOHNSTON CHIRPORACTIC CLINIC",
            "city": "JOHNSTON",
            "state": "SC",
            "postal_code": "29832",
            "telephone_number": "803-275-2225",
            "fax_number": "803-275-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WALTON",
        "middle_name": "ARIAIL",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1334",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.