Individual provider Active NPI

Adam Preston Smith, DC

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1467015735
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S04006 Issued in MD
Practice address
1080 W Patrick St Ste 15
Frederick, MD 21703-3971
Phone
(240) 457-9772
NPI assigned
Apr 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S04006 MD Primary

Addresses

Primary practice location

1080 W Patrick St Ste 15
Frederick, MD 21703-3971

Mailing address

1080 W Patrick St Ste 15
Frederick, MD 21703-3971
Phone (240) 457-9772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515001579 MD Practitioner - Chiropractic 7113260159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1080 W Patrick St
Suite 15
Frederick, MD 21703-3971
Phone (240) 457-9772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Family Chiropractic LLC Chiropractor CurrentSince May 15, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1080 W Patrick St
Ste 15
Frederick, MD 21703
Phone (240) 457-9772

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1467015735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 W PATRICK ST STE 15",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033971",
            "telephone_number": "240-457-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 W PATRICK ST STE 15",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033971",
            "telephone_number": "240-457-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADAM",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.