Roger Daniel Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28289 Issued in CA

Practice address

16052 Beach Blvd
Suite 130
Huntington Beach, CA 92647-3801

Phone

(714) 848-8122

Fax

(714) 848-2968

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356360341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16052 BEACH BLVD",
            "address_2": "SUITE 130",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473801",
            "telephone_number": "714-848-8122",
            "fax_number": "714-848-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16052 BEACH BLVD",
            "address_2": "SUITE 130",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473801",
            "telephone_number": "714-848-8122",
            "fax_number": "714-848-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROGER",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory W Smith, OD
• Hunter Smith
• Ian Smith
• Justyce Smith
• Patrick Smith, LAADC CA, ICADC
• Sarah Smith, ND
• Shelby Smith
• Sheri Lee Smith, PA-C
• Troy Smith, RADT-1 R1344970419
• Denise Sunny Smoke, CATC

• Chiropractor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.