Individual provider Active NPI

Chris Allan Smith, D.C.

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1508897141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06854 Issued in IA
Practice address
576 Boyson Rd NE
Suite 106
Cedar Rapids, IA 52402
Phone
(319) 378-1515
Fax
(319) 378-9292
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06854 IA Primary

Addresses

Primary practice location

576 Boyson Rd NE
Suite 106
Cedar Rapids, IA 52402

Mailing address

4663 Pintail CT
Marion, IA 52302-6276
Phone (319) 447-0376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061117000189 IA Practitioner - Chiropractic 3476587023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 Blairs Ferry Rd NE
Suite 2
Cedar Rapids, IA 52402-1602
Phone (319) 378-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chris a Smith DC Chiropractic PC Chiropractor CurrentSince Sep 18, 2006 Accepting new patients
North Hills Chiropractic Series LLC Chiropractor PastSince Jan 19, 2014 Accepting new patients

Locations

214 Blairs Ferry Rd NE
Ste 200
Cedar Rapids, IA 52402

214 Blairs Ferry Rd NE
Ste 2
Cedar Rapids, IA 52402
Phone (319) 331-8634

576 Boyson Rd NE
Ste 106
Cedar Rapids, IA 52402
Phone (319) 378-1515

214 Blairs Ferry Rd NE
Cedar Rapids, IA 52402
Phone (319) 378-1515

Organizations & group practices 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508897141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4663 PINTAIL CT",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523026276",
            "telephone_number": "319-447-0376",
            "fax_number": "319-378-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 BOYSON RD NE",
            "address_2": "SUITE 106",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-378-1515",
            "fax_number": "319-378-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRIS",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.