Individual provider Active NPI

Kaitlyn Smith, DC

  • Chiropractor
  • Lawton, OK
National Provider Identifier
1447070735
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4634 Issued in OK
Practice address
1402 NW Ferris Ave
Lawton, OK 73507-5747
Phone
(580) 248-4212
Fax
(580) 248-4214
NPI assigned
Oct 12, 2024
Last updated
Oct 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 4634 OK Primary

Addresses

Primary practice location

1402 NW Ferris Ave
Lawton, OK 73507-5747

Mailing address

1402 NW Ferris Ave
Lawton, OK 73507-5747
Phone (580) 248-4212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202002711 OK Practitioner - Chiropractic 4082149976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carl T Lail DC PCGroup PAC ID 0042123440, 2 clinicians

Practice addresses (Care Compare)

1402 NW Ferris Ave
Lail Chiropractic Center
Lawton, OK 73507-5747
Phone (580) 248-4212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carl T. Lail, D.C., P.C. Chiropractor CurrentSince Dec 2, 2024 Accepting new patients

Locations

1402 NW Ferris Ave
Lawton, OK 73507
Phone (580) 248-4212

Organizations & group practices 1

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": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1447070735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 NW FERRIS AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735075747",
            "telephone_number": "580-248-4212",
            "fax_number": "580-248-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 NW FERRIS AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735075747",
            "telephone_number": "580-248-4212",
            "fax_number": "580-248-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAITLYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.