Active NPI
Craig William Smith, D.C.
- Chiropractor
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3439
- Practice address
- 4426 W Walton Blvd
Waterford, MI 48329-4073 - Phone
- (248) 674-4711
- Fax
- (248) 674-4712
- NPI assigned
- Mar 8, 2007
- Last updated
- Sep 8, 2021
- Sex
- Male
- 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 | 3439 | TN | Primary |
| Chiropractor | 111N00000X | 2301007755 | MI |
Addresses
Primary practice location
4426 W Walton Blvd
Waterford, MI 48329-4073
Mailing address
925 S Church St
Ste A200
Murfreesboro, TN 37130-4997
Phone (615) 867-1144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4292119 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1940 N Jackson
Suite 110
Tullahoma, TN 37388-8255
1940 N Jackson St
Suite 110
Tullahoma, TN 37388-8255
Phone (931) 393-2401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3439 | TN | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Chiropractic | Chiropractor | Current | Accepting new patients |
| Pinpoint Chiropractic Center P.C. | Chiropractor | Current | Accepting new patients |
| Tullahoma Integrated Health, P.C. | Chiropractor | Current | Accepting new patients |
Locations
925 S Church St
Ste A200
Murfreesboro, TN 37130
Phone (615) 867-1144
1940 N Jackson St
Ste 110
Tullahoma, TN 37388
Phone (931) 393-2401
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Tullahoma, TN
- NPI 1912682717
Chiropractor
-
- Chiropractor
- Almont, MI
- NPI 1669022166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1407987530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 S CHURCH ST",
"address_2": "STE A200",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371304997",
"telephone_number": "615-867-1144",
"fax_number": "615-814-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4426 W WALTON BLVD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294073",
"telephone_number": "248-674-4711",
"fax_number": "248-674-4712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CRAIG",
"middle_name": "WILLIAM",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3439",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007755",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4292119",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.