Active NPI
Amber D Smith, D.C.
- Chiropractor
- Montgomery, IN
National Provider Identifier
1396079729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002468A
- Practice address
- 439 N Main St
Montgomery, IN 47558-4526 - Phone
- (812) 486-2577
- Fax
- (812) 486-2574
- NPI assigned
- Oct 2, 2009
- Last updated
- Oct 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002468A | IN | Primary |
| Chiropractor | 111N00000X | 5110 | KY |
Addresses
Primary practice location
439 N Main St
Montgomery, IN 47558-4526
Mailing address
439 N Main St
P.O. Box 264
Montgomery, IN 47558-4526
Phone (812) 486-2577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002468A | IN | MD | Chiropractor |
| 5110 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1396079729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 N MAIN ST",
"address_2": "P.O. BOX 264",
"city": "MONTGOMERY",
"state": "IN",
"postal_code": "475584526",
"telephone_number": "812-486-2577",
"fax_number": "812-486-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 N MAIN ST",
"city": "MONTGOMERY",
"state": "IN",
"postal_code": "475584526",
"telephone_number": "812-486-2577",
"fax_number": "812-486-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMBER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-02",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002468A",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5110",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.