Individual provider Active NPI

Jordan A Smith, DC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1477055366
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60821374 Issued in WA
Practice address
7604 NE 5TH Ave Ste 109
Vancouver, WA 98665-8200
Phone
(360) 314-4380
NPI assigned
Mar 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60821374 WA Primary

Addresses

Primary practice location

7604 NE 5TH Ave Ste 109
Vancouver, WA 98665-8200

Mailing address

7604 NE 5TH Ave Ste 109
Vancouver, WA 98665-8200
Phone (360) 314-4380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829003022 WA Practitioner - Chiropractic 4587914361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20218 77TH Ave NE
Suite a
Arlington, WA 98223-4602
Phone (360) 435-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60821374WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Family Chiropractic PLLC Chiropractor CurrentSince Jan 23, 2024 Accepting new patients
Chiro One Wellness Center of Arlington PLLC Chiropractor CurrentSince Jan 23, 2024 Accepting new patients
Chiro One Wellness Center of South Lake Union PLLC Chiropractor CurrentSince Apr 1, 2023 Accepting new patients

Locations

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

20218 77th Ave NE
#A
Arlington, WA 98223
Phone (360) 435-3900

235 Westlake Ave N
Seattle, WA 98109
Phone (206) 749-5253

Organizations & group practices 3

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1477055366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 NE 5TH AVE STE 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658200",
            "telephone_number": "360-314-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 NE 5TH AVE STE 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658200",
            "telephone_number": "360-314-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JORDAN",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60821374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.