Individual provider Active NPI

Josefina Danielle Smith

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1336897164
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9117 Issued in AZ
Practice address
1949 W Ray Rd Ste 23
Chandler, AZ 85224-4008
Phone
(877) 222-5348
NPI assigned
Mar 10, 2022
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9117 AZ Primary

Addresses

Primary practice location

1949 W Ray Rd Ste 23
Chandler, AZ 85224-4008

Mailing address

1949 W Ray Rd Ste 23
Chandler, AZ 85224-4008
Phone (877) 222-5348

Other identifiers 1

IdentifierTypeStateIssuer
0MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411000745 AZ Practitioner - Chiropractic 0244626752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ray Road Medical Group LLCGroup PAC ID 5890045975, 4 clinicians

Practice addresses (Care Compare)

1949 W Ray Rd
Suite 23
Chandler, AZ 85224-4008
Phone (480) 917-1720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ray Road Medical Group LLC Chiropractor CurrentSince Apr 1, 2022 Accepting new patients

Locations

1949 W Ray Rd
Ste 23
Chandler, AZ 85224
Phone (480) 307-8258

2250 E Germann Rd
Ste 8
Chandler, AZ 85286

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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1336897164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 W RAY RD STE 23",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244008",
            "telephone_number": "877-222-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 W RAY RD STE 23",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244008",
            "telephone_number": "877-222-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSEFINA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.