Smith Chiropractic Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1130 Issued in NM

Legal business name

SMITH CHIROPRACTIC CENTER PA

Practice address

1400 S Ave D Ste a
Portales, NM 88130-6886

Phone

(575) 356-4440

Fax

(575) 356-4433

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William James Smith, DC., CCSTNPI 1851379499

Title

Chiropractor

Phone

(575) 356-4440

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

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

• William J. Smith, DC., CCST

  • Sports Physician Chiropractor
  • Portales, NM
  • NPI 1851379499
  Medicare reassignment NPD Authorized official
• Brice Evins Crawford, DC

  • Chiropractor
  • Clovis, NM
  • NPI 1801046743
  NPD (past)

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1386973790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S AVE D STE A",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306886",
            "telephone_number": "575-356-4440",
            "fax_number": "575-356-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S AVE D STE A",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306886",
            "telephone_number": "575-356-4440",
            "fax_number": "575-356-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "575-356-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC., CCST"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "614457900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350023553",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "201009423",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM01K995",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bennie Shepherd
• Sievers Sports Medicine Inc
• Joel William Sievers, MD
• Brianna Sigala
• Leah Lynn Simmons
• Desiree I Smith, RN
• James Franklin Smith, DDS
• Makenzie Marie Smith
• William J. Smith, DC., CCST
• Southeastern Behavioral Associates, LLC

• Chiropractor in Portales, NM
• Providers in Portales, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.