Active NPI
Troy Anthony Smith, D.C.
- Chiropractor
- Arroyo Grande, CA
National Provider Identifier
1497924526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31081
- Practice address
- 530 Traffic Way
Arroyo Grande, CA 93420-3357 - Phone
- (805) 489-8592
- Fax
- (805) 489-9509
- NPI assigned
- Feb 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 71-3813 | OR | |
| Chiropractor | 111N00000X | 31081 | CA | Primary |
Addresses
Primary practice location
530 Traffic Way
Arroyo Grande, CA 93420-3357
Mailing address
530 Traffic Way
Arroyo Grande, CA 93420-3357
Phone (805) 489-8592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091023000166 | CA | Practitioner - Chiropractic | 6103963186 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2 James Way
Suite 108
Pismo Beach, CA 93449-4974
Phone (805) 489-8592
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31081 | CA | MD | Clinical Neuropsychologist |
| 71-3813 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ta Smith Chiropractic Inc | Current | Accepting new patients |
Locations
530 Traffic Way
Arroyo Grande, CA 93420
Phone (805) 489-8592
2 James Way
Ste 108
Pismo Beach, CA 93449
Phone (805) 295-0187
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": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1497924526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 TRAFFIC WAY",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203357",
"telephone_number": "805-489-8592",
"fax_number": "805-489-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 TRAFFIC WAY",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203357",
"telephone_number": "805-489-8592",
"fax_number": "805-489-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TROY",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-22",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "71-3813",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.