Individual provider Active NPI

Scott K Smith, DC

  • Chiropractor
  • Oceanside, CA
National Provider Identifier
1346386406
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
590 Issued in MT
Practice address
4750 Oceanside Blvd Ste A17
Oceanside, CA 92056-3052
Phone
(760) 945-4652
Fax
(760) 945-4653
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC19611 CA
Chiropractor 111N00000X 590 MT Primary

Addresses

Primary practice location

4750 Oceanside Blvd Ste A17
Oceanside, CA 92056-3052

Mailing address

4750 Oceanside Blvd Ste A17
Oceanside, CA 92056-3052
Phone (760) 945-4652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140701002594 CA Practitioner - Chiropractic 6709019540 Practice locations: Oceanside, CA
I20181126001115 MT Practitioner - Chiropractic 6709019540 Practice locations: Great Falls, MT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4750 Oceanside Blvd
A17
Oceanside, CA 92056-3052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC19611CAMDChiropractor
590MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Farthing Chiropractic, Inc. Chiropractor CurrentSince Dec 8, 2024 Accepting new patients
Coastal Chiropractic Wellness Center Chiropractor PastSince Nov 4, 1988 Accepting new patients

Locations

4750 Oceanside Blvd
Ste A17
Oceanside, CA 92056
Phone (760) 945-4652

Organizations & group practices 2

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1346386406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 OCEANSIDE BLVD STE A17",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563052",
            "telephone_number": "760-945-4652",
            "fax_number": "760-945-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 OCEANSIDE BLVD STE A17",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563052",
            "telephone_number": "760-945-4652",
            "fax_number": "760-945-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19611",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.