Individual provider Active NPI

Craig William Smith, D.C.

  • Chiropractor
  • Waterford, MI
National Provider Identifier
1407987530
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3439 Issued in TN
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4292119MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914000189 TN Practitioner - Chiropractic 4183716087 Reassigns benefits to 2 organizations

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
Tullahoma Integrated Health PCGroup PAC ID 5991152027, 2 clinicians

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

LicenseStateTypeSpecialty
3439TNMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Chiropractic Chiropractor CurrentSince Nov 1, 2021 Accepting new patients
Pinpoint Chiropractic Center P.C. Chiropractor Current Accepting new patients
Tullahoma Integrated Health, P.C. Chiropractor CurrentSince Jan 1, 2026 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.

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.

Verify at the official NPI Registry.