Smith Chiropractic Pain Center PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2002019357 Issued in MO

Legal business name

SMITH CHIROPRACTIC PAIN CENTER PC

Practice address

2609 Cantrell Rd
Harrisonville, MO 64701-4002

Phone

(816) 380-3860

Fax

(816) 380-3862

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tyrone Prescott Smith, D.C.NPI 1669516233

Title

President

Phone

(816) 380-3860

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyrone P. Smith Sr., D.C.

  • Chiropractor
  • Harrisonville, MO
  • NPI 1669516233
  NPD Authorized official

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1386837722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 CANTRELL RD",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014002",
            "telephone_number": "816-380-3860",
            "fax_number": "816-380-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 CANTRELL RD",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014002",
            "telephone_number": "816-380-3860",
            "fax_number": "816-380-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC PAIN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "PRESCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-380-3860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "2002019357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI NUMBER",
            "identifier": "1386837722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31751019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31744016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Ann Shingleton
• Shining Steps ABA LLC
• Sightrite Medical Mo LLC
• Brett Aaron Simon, DPT
• Shera Ann Sims, D.D.S
• Jacob Robert Smith
• Katheryn M Smith, APRN, PMHNP, FNP
• Mallory Dianne Smith, LMSW
• Tyrone P. Smith Sr., D.C.
• Snider & Associates Optometry, PC

• Clinic/Center in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.