Individual provider Active NPI

Logan Smith, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1407372535
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01661 Issued in NV
Practice address
3613 S Eastern Ave
Las Vegas, NV 89169-3344
Phone
(702) 570-9051
Fax
(702) 825-3641
NPI assigned
Aug 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01661 NV Primary

Addresses

Primary practice location

3613 S Eastern Ave
Las Vegas, NV 89169-3344

Mailing address

3613 S Eastern Ave
Las Vegas, NV 89169-3344
Phone (702) 570-9051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317002590 NV Practitioner - Chiropractic 2466880828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor'S Health Network IncGroup PAC ID 4587889985, 4 clinicians
Integrated Health Network IncGroup PAC ID 9234610270, 4 clinicians

Practice addresses (Care Compare)

1485 W Warm Springs Rd
Suite 102
Henderson, NV 89014-7632
Phone (702) 435-7987

3613 S Eastern Ave
Las Vegas, NV 89169-3344
Phone (702) 570-9051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01661NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Network Inc Chiropractor CurrentSince Jan 13, 2026 Accepting new patients
Doctor'S Health Network, Inc. CurrentSince Jul 29, 2019 Accepting new patients
Doctor'S Health Network, Inc. CurrentSince Jul 29, 2019 Accepting new patients

Locations

1485 W Warm Springs Rd
Ste 102
Henderson, NV 89014
Phone (702) 435-7987

241 N Buffalo Dr
Ste 100
Las Vegas, NV 89145
Phone (702) 852-1390

7895 W Sunset Rd
Ste 102
Las Vegas, NV 89113
Phone (702) 630-3205

6837 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 221-0991

3613 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 570-9051

2610 S Jones Blvd
Ste 2
Las Vegas, NV 89146

Interoperability endpoints

  • Direct secure messaging: logan.smith@425.chartlogic.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1407372535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693344",
            "telephone_number": "702-570-9051",
            "fax_number": "702-825-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693344",
            "telephone_number": "702-570-9051",
            "fax_number": "702-825-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LOGAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.