Fred L. Smith DCPC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038003396 Issued in IL

Legal business name

FRED L. SMITH DCPC

Practice address

908 Oak St
Carmi, IL 62821-1340

Phone

(618) 382-4834

Fax

(618) 382-7129

NPI assigned

Apr 13, 2012

Organization subpart

No

Name

Dr. Fred L Smith, D.C.

Title

Owner

Phone

(618) 382-4834

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Loren Kay, D.C.

  • Chiropractor
  • Carmi, IL
  • NPI 1508294760
  NPD (past) Chiropractor

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2012.

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1417214545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 OAK ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211340",
            "telephone_number": "618-382-4834",
            "fax_number": "618-382-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 OAK ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211340",
            "telephone_number": "618-382-4834",
            "fax_number": "618-382-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED L. SMITH DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-382-4834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038003396",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Fechtig, PHARMD
• Ferrell Hospital Community Foundation
• Karley Elizabeth Foote
• William Robert Foote, B.S.
• Laura Fox
• Rachel Frederick
• Carl Edward Funkhouser, D.D.S.
• Jaclyn Garner, M.S. CCC-SLP
• Klaire Gebhart
• Don Andrew Gee, RPH

• All providers in Carmi, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.