Individual provider Active NPI

Troy Anthony Smith, D.C.

  • Chiropractor
  • Arroyo Grande, CA
National Provider Identifier
1497924526
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31081 Issued in CA
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

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
31081CAMDClinical Neuropsychologist
71-3813ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ta Smith Chiropractic Inc CurrentSince May 18, 2015 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.

Verify at the official NPI Registry.