Randy Louis Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002125 Issued in WA

Practice address

2040 6TH Ave
Tacoma, WA 98403-1045

Phone

(253) 572-1881

Fax

(253) 572-5682

NPI assigned

Dec 13, 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

Other identifiers 1

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366503039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984031045",
            "telephone_number": "253-572-1881",
            "fax_number": "253-572-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984031045",
            "telephone_number": "253-572-1881",
            "fax_number": "253-572-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RANDY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "96395",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nelson Alexander Smith, LCSW
• Patrick Raymond Smith, MD
• Paula Janise Smith, ARNP
• Paula L. Smith, M.D.
• Ramona M Smith
• Richard Smith, M.D.
• Robert Clyde Smith Jr., LMHC
• Rosamond Smith, PHD
• Sandra Jean Smith
• Sarah Katheryn Smith

• Chiropractor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Chiropractor in Washington

• 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.