Active NPI
Suzan Jo Smith, DC
- Chiropractor
- Carrollton, TX
National Provider Identifier
1528093796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4400
- Practice address
- 3044 Old Denton Rd
#316
Carrollton, TX 75007-5016 - Phone
- (972) 245-3377
- Fax
- (972) 245-6366
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4400 | TX | Primary |
| Chiropractor | 111N00000X | 5041 | FL |
Addresses
Primary practice location
3044 Old Denton Rd
#316
Carrollton, TX 75007-5016
Mailing address
3044 Old Denton Rd
#316
Carrollton, TX 75007-5016
Phone (972) 245-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8M0030 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040605000180 | TX | Practitioner - Chiropractic | 2264414945 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5041 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Suzan J. Smith Chiropractic PA | Chiropractor | Current | Accepting new patients |
| Waylon Jeter, DC | Chiropractor | Past | Accepting new patients |
| Nellness LLC | Chiropractor | Past | Accepting new patients |
Locations
3044 Old Denton Rd
Ste 316
Carrollton, TX 75007
Phone (972) 245-3377
Organizations & group practices 3
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.
-
- Chiropractor
- Carrollton, TX
- NPI 1598985004
-
- Chiropractor
- Carrollton, TX
- NPI 1386459303
-
- Chiropractor
- Carrollton, TX
- NPI 1285820035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1528093796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3044 OLD DENTON RD",
"address_2": "#316",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075016",
"telephone_number": "972-245-3377",
"fax_number": "972-245-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3044 OLD DENTON RD",
"address_2": "#316",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075016",
"telephone_number": "972-245-3377",
"fax_number": "972-245-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SUZAN",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4400",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "5041",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8M0030",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.