Individual provider Active NPI

Gregory Robert Smith, D.C.

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1396961751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2744 Issued in OH
Practice address
3431 Cleveland Ave
Ste. G
Columbus, OH 43224-2920
Phone
(614) 784-0002
Fax
(614) 784-0904
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2744 OH Primary

Addresses

Primary practice location

3431 Cleveland Ave
Ste. G
Columbus, OH 43224-2920

Mailing address

3431 Cleveland Ave
Ste. G
Columbus, OH 43224-2920
Phone (614) 784-0002

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

LicenseStateTypeSpecialty
2744OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Therapy Center LLC Current Accepting new patients

Locations

3431 Cleveland Ave
Ste G
Columbus, OH 43224
Phone (614) 784-0002

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396961751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 CLEVELAND AVE",
            "address_2": "STE. G",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432242920",
            "telephone_number": "614-784-0002",
            "fax_number": "614-784-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 CLEVELAND AVE",
            "address_2": "STE. G",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432242920",
            "telephone_number": "614-784-0002",
            "fax_number": "614-784-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • 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.