Individual provider Active NPI

Cynthia D Smith, DC, LAC

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1346269057
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33261 Issued in CA
Practice address
833 Dover Dr.
Suite 17
Newport Beach, CA 92663-5993
Phone
(949) 524-3235
Fax
(818) 922-8913
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3679 CO
Acupuncturist 171100000X 15819 CA
Chiropractor 111N00000X 33261 CA Primary

Addresses

Primary practice location

833 Dover Dr.
Suite 17
Newport Beach, CA 92663-5993

Mailing address

833 Dover Dr.
Suite 17
Newport Beach, CA 92663-5993
Phone (949) 524-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15819CAMDChiropractor
3679COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lea Thompson LTD,P.C Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1346269057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 DOVER DR.",
            "address_2": "SUITE 17",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635993",
            "telephone_number": "949-524-3235",
            "fax_number": "818-922-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 DOVER DR.",
            "address_2": "SUITE 17",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635993",
            "telephone_number": "949-524-3235",
            "fax_number": "818-922-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3679",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15819",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.