Collin P Smith

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5040 Issued in KY

Practice address

3165 Beaumont Centre Cir Ste 130
Lexington, KY 40513-1966

Phone

(859) 219-1014

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beamont Chiropractic LLC

  • Chiropractor
  • Lexington, KY
  • NPI 1619206539
  Medicare reassignment NPD Authorized official
• Discover Family Chiropractic

  • Chiropractor
  • Nicholasville, KY
  • NPI 1841467487
  NPD (past) Authorized official
• Regency Chiropractic

  • Chiropractor
  • Lexington, KY
  • NPI 1225667652
  Authorized official Same address or phone

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1467595470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 BEAUMONT CENTRE CIR STE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131966",
            "telephone_number": "859-219-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 BEAUMONT CENTRE CIR STE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131966",
            "telephone_number": "859-219-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "2496756",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NO.",
            "identifier": "11696849",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles D Smith, MD
• Chelsie Smith, APRN
• Cherokee Smith
• Cheyenne C Smith, BSN, RN, LMT
• Clifton Smith, MD
• Corey R Smith
• Crystal Smith, LPCA
• Dan Smith
• David Charles Smith, DMD
• Deborah Susan Smith

• Chiropractor in Lexington, KY
• Providers in Lexington, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.