Active NPI
David Brian Smith, D.C.
- Chiropractor
- Harrisburg, PA
National Provider Identifier
1447375738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 002447-L
- Practice address
- 1315 N Mountain Rd
Harrisburg, PA 17112-1757 - Phone
- (717) 652-4672
- Fax
- (717) 652-2680
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 002447-L | PA | Primary |
Addresses
Primary practice location
1315 N Mountain Rd
Harrisburg, PA 17112-1757
Mailing address
1315 N Mountain Rd
Harrisburg, PA 17112-1757
Phone (717) 652-4672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T283286 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120229000166 | PA | Practitioner - Chiropractic | 7517125198 | Practice locations: Harrisburg, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Adio/Pennsylvania Institute of Straight Chiropractic, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1315 N Mountain Rd
Harrisburg, PA 17112-1757
Phone (717) 652-4672
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 002447-L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1447375738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 N MOUNTAIN RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171121757",
"telephone_number": "717-652-4672",
"fax_number": "717-652-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 N MOUNTAIN RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171121757",
"telephone_number": "717-652-4672",
"fax_number": "717-652-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DAVID",
"middle_name": "BRIAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC 002447-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T283286",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.