Individual provider Active NPI

Daelyn Anne Smith, DC

  • Chiropractor
  • Hutchinson, KS
National Provider Identifier
1467280297
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0106351 Issued in KS
Practice address
210 E 30TH Ave Ste 110
Hutchinson, KS 67502-2463
Phone
(620) 259-6399
Fax
(620) 259-6682
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 0106351 KS Primary

Addresses

Primary practice location

210 E 30TH Ave Ste 110
Hutchinson, KS 67502-2463

Mailing address

210 E 30TH Ave Ste 110
Hutchinson, KS 67502-2463
Phone (620) 615-1389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809003697 KS Practitioner - Chiropractic 6608314547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Chiropractic and Acupuncture LLCGroup PAC ID 3375837412, 2 clinicians

Practice addresses (Care Compare)

210 E 30TH Ave
Suite 110
Hutchinson, KS 67502-2463
Phone (620) 259-6399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0106351KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Chiropractic & Acupuncture LLC Chiropractor CurrentSince Jul 23, 2024 Accepting new patients

Locations

210 E 30th Ave
Ste 110
Hutchinson, KS 67502
Phone (620) 259-6399

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1467280297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 30TH AVE STE 110",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022463",
            "telephone_number": "620-615-1389",
            "fax_number": "662-259-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 30TH AVE STE 110",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022463",
            "telephone_number": "620-259-6399",
            "fax_number": "620-259-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAELYN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0106351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.