Organization Active NPI

Smart Chiropractic PLLC

Doing business as Life Force Chiropractic

  • Chiropractor
  • Silverdale, WA
National Provider Identifier
1346543394
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034623 Issued in WA
Legal business name
SMART CHIROPRACTIC PLLC
Doing business as
Life Force Chiropractic
Practice address
9119 Ridgetop Blvd NW Ste 160
Silverdale, WA 98383-8549
Phone
(360) 215-7246
Fax
(360) 215-7282
NPI assigned
Dec 14, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ryan Smart, DCNPI 1164539896
Title
Ceo
Phone
(360) 779-5580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034623 WA Primary

Addresses

Primary practice location

9119 Ridgetop Blvd NW Ste 160
Silverdale, WA 98383-8549

Mailing address

1016 NE Forest Rock LN Ste 105
Poulsbo, WA 98370-6541
Phone (360) 779-5580

Other identifiers 1

IdentifierTypeStateIssuer
1164539896MedicaidWA

Other names 1

  • Life Force Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110421000073 WA Part B Supplier - Clinic/Group Practice 2769667583 Receives reassigned benefits from 1 practitioner
Practice locations: Silverdale, WA

National Provider Directory

National Provider Directory

Locations

1016 NE Forest Rock Ln
#104
Poulsbo, WA 98370
Phone (360) 779-5580

9119 Ridgetop Blvd NW
Ste 160
Silverdale, WA 98383
Phone (360) 215-7246

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346543394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 NE FOREST ROCK LN STE 105",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706541",
            "telephone_number": "360-779-5580",
            "fax_number": "360-779-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 RIDGETOP BLVD NW STE 160",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838549",
            "telephone_number": "360-215-7246",
            "fax_number": "360-215-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-779-5580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164539896",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Force Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.