Keith T Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC17410 Issued in CA

Practice address

13136 Lincoln Way
Auburn, CA 95603-4114

Phone

(530) 885-8205

Fax

(530) 885-0303

NPI assigned

Dec 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keith Smith Chiropractic Professional CorporationGroup PAC ID 0648310094, 2 clinicians

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 and National Provider Directory roles.

• Keith Smith Chiropractic Professional Corporation

  • Chiropractor
  • Auburn, CA
  • NPI 1841313822
  Medicare reassignment Care Compare group NPD Authorized official
• Keith Smith Chiropractic Professional Corporation

  • Chiropractor
  • Auburn, CA
  • NPI 1740462423
  NPD Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1487836169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13136 LINCON WY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034114",
            "telephone_number": "530-885-8205",
            "fax_number": "530-885-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13136 LINCOLN WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034114",
            "telephone_number": "530-885-8205",
            "fax_number": "530-885-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEITH",
        "middle_name": "T",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "DC0174100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0174100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April L. Skinner, D.D.S.
• Walter D. Skinner, D.D.S.
• Skyridge Pharmacy
• Eric Smedberg, PT
• Rosemary Helena Smit-Lewis, MSW
• Kimberly Michelle Smith
• Larissa Rose Smith, D.C.
• Mark Andrew Smith, PT
• Ronald Scott Smith, DPT
• Terry L Smith, DPM

• Chiropractor in Auburn, CA
• Providers in Auburn, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.