Individual provider Active NPI

Tyler Joel Smith, D.C.

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1427484484
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2013034804 Issued in MO
Practice address
600 Broadway Blvd Ste 175
Kansas City, MO 64105-1726
Phone
(816) 673-1188
Fax
(816) 673-1199
NPI assigned
Sep 23, 2013
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2013034804 MO Primary

Addresses

Primary practice location

600 Broadway Blvd Ste 175
Kansas City, MO 64105-1726

Mailing address

600 Broadway Blvd Ste 175
Kansas City, MO 64105-1726
Phone (816) 673-1188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200504000395 MO Practitioner - Chiropractic 1658702881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Broadway Blvd
Suite 175
Kansas City, MO 64105-1536
Phone (816) 673-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013034804MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chirofit LLC Chiropractor CurrentSince Mar 3, 2020 Accepting new patients
Chiropractic Wellness Center PC Chiropractor Past Accepting new patients
FMH Health Solutions PC Chiropractor PastSince Jul 17, 2012 Accepting new patients

Locations

600 Broadway Blvd
Ste 175
Kansas City, MO 64105
Phone (620) 926-0873

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1427484484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROADWAY BLVD STE 175",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051726",
            "telephone_number": "816-673-1188",
            "fax_number": "816-673-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY BLVD STE 175",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051726",
            "telephone_number": "816-673-1188",
            "fax_number": "816-673-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYLER",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2013034804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.