Mark S Smith, DC PC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

0104000196 Issued in VA

Practice address

13549 Midlothian Tpke
Midlothian, VA 23113-4261

Phone

(804) 897-9194

Fax

(804) 794-3734

NPI assigned

Oct 6, 2006

Last updated

Oct 27, 2016By the provider in NPPES

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 VA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1977

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark S Smith DC PC

  • Neurology Chiropractor
  • Midlothian, VA
  • NPI 1689797532
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1508953860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13354 MIDLOTHIAN TPKE",
            "address_2": "STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134258",
            "telephone_number": "804-744-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13549 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134261",
            "telephone_number": "804-897-9194",
            "fax_number": "804-794-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "VA",
            "license": "0104000196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS ID",
            "identifier": "177764",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "541182330",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ashlyn Smith, OTD, OTR/L
• Kirby Smith, PA-C
• Lana Draney Smith, LPC
• Lauren Alexandra Smith, O.D.
• Lucy Lynn Smith, NP
• Micah Danielle Smith
• Rachel Rand Smith, DPT
• Gina K Smoot, MSN, FNP-C, CCM
• Erin Smydra, BCBA, LBA
• Olivia Faith Snapp

• Neurology Chiropractor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Neurology Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.