Kevin Michael Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 60040139 Issued in WA

Practice address

1832 Scott Rd
Ste B1
Freeland, WA 98249-9475

Phone

(208) 874-3979

NPI assigned

Dec 6, 2007

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

Practice roles

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.

• Body Pro Clinic, Inc.

  • Massage Therapist
  • Yakima, WA
  • NPI 1427384122
  NPD (past)
• MJ Best Chiropractic, Inc

  • Chiropractor
  • Freeland, WA
  • NPI 1922182575
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1366625899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 SCOTT RD",
            "address_2": "STE B1",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982499475",
            "telephone_number": "208-874-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 SCOTT RD",
            "address_2": "STE B1",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982499475",
            "telephone_number": "208-874-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Summitview Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023021",
            "country_code": "US",
            "telephone_number": "509-965-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60040139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saratoga Enterprises Inc
• Megan Patricia Scudder, PT
• Serene Natural Health
• Banchegize Lucy Ann Shelley
• Gwen G. Sipes, LMT, LMP, LMHCA
• Nikki Lee Snyder, L.M.P.
• Margaret Ann Sorrel, D.O.
• South Whidbey Pediatrics
• Sari Spieler, LMP
• Sally Katherine Stansfield, M.D.

• All providers in Freeland, WA
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.