L. Lee Smith, D.C, P.a

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7178 Issued in FL

Legal business name

L. LEE SMITH, D.C, P.A

Practice address

100 W New Haven Ave
Melbourne, FL 32901-4303

Phone

(321) 327-7014

Fax

(321) 821-1924

NPI assigned

Oct 19, 2011

Last updated

Sep 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry Lee Smith, D.CNPI 1922001502

Title

Physician/Owner

Phone

(321) 327-7014

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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.

• Larry Lee Smith, D.C

  • Chiropractor
  • Melbourne, FL
  • NPI 1922001502
  Medicare reassignment NPD Authorized official
• Brandon Bond, D.C.

  • Chiropractor
  • Melbourne, FL
  • NPI 1538585153
  NPD
• Lauren Manning, DC, MS

  • Chiropractor
  • Palm Harbor, FL
  • NPI 1700583820
  NPD
• George Ryan Mattes, D.C.

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1376098285
  NPD
• Beth Ann Ruede, DC

  • Chiropractor
  • Malabar, FL
  • NPI 1407492341
  NPD
• Sidney Sands, DC

  • Chiropractor
  • Titusville, FL
  • NPI 1376225797
  NPD

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1336424506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356717",
            "telephone_number": "321-327-7014",
            "fax_number": "321-821-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014303",
            "telephone_number": "321-327-7014",
            "fax_number": "321-821-1924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 Glades Rd",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334343958",
            "country_code": "US",
            "telephone_number": "561-479-2880",
            "fax_number": "561-479-0843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "L. LEE SMITH, D.C, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "321-327-7014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381082800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kunzman, LMHC
• Emma Constance Kurudiyara, M.P.H.,RD,LDN
• Jacob Kutcher
• Jessica Kvasnok, MSW BCBA
• Kyle J Callaway OD PLLC (Callaway Eye)
• La B&B Enterprise LLC (Pitcher Primary Care and la Wellness)
• Jacqueline M. La Manna, ARNP
• Patricia La Rovere, PT
• Labor Script Aesthesia Services LLC
• Labor Script Health Services LLC

• Chiropractor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.