Individual provider Active NPI

Ryan Alexander Smith, D.C.

  • Chiropractor
  • Palm Harbor, FL
National Provider Identifier
1427158138
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8144 Issued in FL
Practice address
36434 U.S. Highway 19 North
Palm Harbor, FL 34684
Phone
(727) 785-6771
Fax
(727) 781-1428
NPI assigned
Sep 23, 2006
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8144 FL Primary
Chiropractor 111N00000X X009395 NY

Addresses

Primary practice location

36434 U.S. Highway 19 North
Palm Harbor, FL 34684

Mailing address

36434 U.S. Highway 19 North
Palm Harbor, FL 34684
Phone (727) 785-6771

Other identifiers 3

IdentifierTypeStateIssuer
002244711OtherUHC
2800187-00MedicaidFL
53959OtherFLBCBSFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000808 FL Practitioner - Chiropractic 1254244577 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8144FLMDChiropractor
X009395NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Center of Florida, LLC. Chiropractor CurrentSince Apr 12, 2022 Accepting new patients
Gulfcoast Spinal Center, Inc. PastSince Apr 12, 2022 Accepting new patients
Dennis M. Kuryliw, D.C., P.a. Chiropractor Past Accepting new patients
Steller Life Care Inc. Chiropractor Past Accepting new patients
Smith and Smith Chiropractic Group Inc. Chiropractor Past Accepting new patients

Locations

7136 Little Rd
New Prt Rchy, FL 34654
Phone (727) 816-9616

Organizations & group practices 5

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1427158138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36434 U.S. HIGHWAY 19 NORTH",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-785-6771",
            "fax_number": "727-781-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36434 U.S. HIGHWAY 19 NORTH",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-785-6771",
            "fax_number": "727-781-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8144",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "002244711",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2800187-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "53959",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.