Individual provider Active NPI

Caylee Jordan Smith, D.C

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1326826835
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15767 Issued in TX
Practice address
10761 Founders Way
Fort Worth, TX 76177-1574
Phone
(325) 998-5500
NPI assigned
Sep 18, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 15767 TX Primary

Addresses

Primary practice location

10761 Founders Way
Fort Worth, TX 76177-1574

Mailing address

10761 Founders Wy
Fort Worth, TX 76177-1574
Phone (469) 540-7158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017003060 TX Practitioner - Chiropractic 3577918150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic and Rehab Centers IncGroup PAC ID 1759547102, 2 clinicians

Practice addresses (Care Compare)

705 W Bailey Boswell Rd
Suite 200
Saginaw, TX 76179-1020
Phone (817) 306-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15767TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic & Rehab Centers, Inc Chiropractor CurrentSince Aug 1, 2024 Accepting new patients

Locations

705 W Bailey Boswell Rd
Saginaw, TX 76179
Phone (817) 306-8585

705 W Bailey Boswell Rd
Ste 200
Saginaw, TX 76179
Phone (817) 306-8585

Organizations & group practices 1

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1326826835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10761 FOUNDERS WY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771574",
            "telephone_number": "469-540-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10761 FOUNDERS WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771574",
            "telephone_number": "325-998-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAYLEE",
        "middle_name": "JORDAN",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.