Jennifer K Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1228 Issued in TN

Practice address

2372 Lifestyle Way Ste 174
Chattanooga, TN 37421-4940

Phone

(423) 899-0309

Fax

(423) 899-0319

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Care ChiropracticGroup PAC ID 2062436330, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Care Chiropractic

  • Chiropractor
  • Chattanooga, TN
  • NPI 1073719928
  Medicare reassignment Care Compare group NPD Authorized official
• Total Health PLLC

  dba Atlas Total Health

  • Multi-Specialty Clinic/Center
  • Chattanooga, TN
  • NPI 1447277181

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1326061060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2372 LIFESTYLE WAY STE 174",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214940",
            "telephone_number": "423-899-0309",
            "fax_number": "423-899-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 LIFESTYLE WAY STE 174",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214940",
            "telephone_number": "423-899-0309",
            "fax_number": "423-899-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4115420",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Nichole Smith
• Helen Smith, NP
• James Clifford Smith
• Janice L Smith, RN
• Jason Gregory Smith, MD
• Jeremiah Shane Smith, NP
• Jerry Lee Smith, MD
• Jessica Allaway Smith, MD
• John Kevin Smith Jr., MD
• Jonathan Hillel Smith, LCSW

• Chiropractor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.