Kevin Charles Smith Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008988 Issued in GA

Practice address

2680 Cobb Pkwy NW Ste C
Kennesaw, GA 30152-3470

Phone

(770) 629-9885

Fax

(770) 430-8750

NPI assigned

Jun 14, 2012

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Backsmith LLC

  dba BackSmith Chiropractic

  • Chiropractor
  • Kennesaw, GA
  • NPI 1891579199
  NPD Authorized official

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1407118458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 COBB PKWY NW STE C",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523470",
            "telephone_number": "770-629-9885",
            "fax_number": "770-430-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 COBB PKWY NW STE C",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523470",
            "telephone_number": "770-629-9885",
            "fax_number": "770-430-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Derrick Smith, D.D.S.
• Jane Coleman Smith
• Jasmine Smith Dominic Smith
• Jenina Rossi Smith, LPC
• Kayla Smith
• Kristen Dionne Smith, R.N.
• Samuel Smith II, NCC, LPC
• Sheri Smith, P.T.
• Shyann Monique Smith, NP-C
• Walter Jason Smith, CRNA

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.