Individual provider Active NPI

Kevin Robert Smith, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1518901487
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9212 Issued in FL
Practice address
1522 N Halsted St
Chicago, IL 60642-2528
Phone
(312) 379-5000
Fax
(312) 379-5060
NPI assigned
Jun 15, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011304 IL
Chiropractor 111N00000X CH9212 FL Primary

Addresses

Primary practice location

1522 N Halsted St
Chicago, IL 60642-2528

Mailing address

1095 29TH Ave N
Naples, FL 34103-4560
Phone (239) 272-9157

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070529000019 FL Practitioner - Chiropractic 3678670650

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2355 Vanderbilt Beach Rd
Suite 146
Naples, FL 34109-2768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Muv Chiropractic FL LLC Chiropractor CurrentSince Feb 9, 2025 Accepting new patients
Lauren McCabe DC PA Chiropractor CurrentSince Aug 1, 2025 Accepting new patients
Synergy Chiropractic and Health Center PA Chiropractor PastSince Mar 4, 2022 Accepting new patients
Absolute Chiropractic PLC Chiropractor Past Accepting new patients

Locations

2355 Vanderbilt Beach Rd
Ste 146
Naples, FL 34109
Phone (239) 260-4566

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1518901487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 29TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034560",
            "telephone_number": "239-272-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422528",
            "telephone_number": "312-379-5000",
            "fax_number": "312-379-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011304",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.