Individual provider Active NPI

David Brian Smith, D.C.

  • Chiropractor
  • Harrisburg, PA
National Provider Identifier
1447375738
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 002447-L Issued in PA
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

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
T283286MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC 002447-LPAMDChiropractor

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.

Verify at the official NPI Registry.