Active NPI
Sammy Lee Smith, D.C.
- Chiropractor
- Jacksonville, TX
National Provider Identifier
1518965508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2288
- Practice address
- 1401 E Rusk St
Jacksonville, TX 75766-3400 - Phone
- (903) 586-1536
- Fax
- (903) 586-2732
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC2288 | TX | Primary |
Addresses
Primary practice location
1401 E Rusk St
Jacksonville, TX 75766-3400
Mailing address
1401 E Rusk St
Jacksonville, TX 75766-3400
Phone (904) 586-1536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2288 | TX | MD | Marriage & Family Therapist |
| DC2288 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1518965508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 E RUSK ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757663400",
"telephone_number": "904-586-1536",
"fax_number": "903-586-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E RUSK ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757663400",
"telephone_number": "903-586-1536",
"fax_number": "903-586-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SAMMY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC2288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, TX
- SLP Jacksonville LLC (Jacksonville Healthcare Center)
- Gary E Smith, MD
- Honey Michelle Smith, FNP
- Jordan Victoria Smith, COTA
- Mary Maegan Smith
- Southwest LTC - Bonner LLC (Legacy at Jacksonville)
- Special Health Resources for Texas, Incorporated (True North Health Center)
- Christy Michelle Spell
- Melissa A Springmeyer, M.D.
- Dennis Raymond Steelman, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.