Kevin Curtis Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2046 Issued in MN

Practice address

212 Fulton
Red Wing, MN 55066

Phone

(651) 388-3212

Fax

(651) 385-0255

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Downtown Chiropractic LTD.

  • Chiropractor
  • Red Wing, MN
  • NPI 1538233101
  NPD
• New Richmond Chiropractic Clinic Inc

  • Chiropractor
  • New Richmond, WI
  • NPI 1467519660
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1417024217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 FULTON",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "55066",
            "telephone_number": "651-388-3212",
            "fax_number": "651-385-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 FULTON",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "55066",
            "telephone_number": "651-388-3212",
            "fax_number": "651-385-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2046",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1594",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060228100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70D31SM",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Skala
• Vera Joan Jody Slominski, CRNA
• Trichelle Jade Smaller
• Amanda Rae Smith, LICSW
• Justin Thomas Smith, APRN, CRNA, DNP
• Jeremy Richard Soehnlin
• Bryan Sorensen, DPT
• Migdalia Rose Spates
• Ryan C Sportel, CRNA
• Kristin Michelle Sprick, CLINICAL SUPERVISOR

• Chiropractor in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.