Devin Smalls, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14039 Issued in FL

Practice address

760 Currency Cir Ste a
Lake Mary, FL 32746-2138

Phone

(407) 732-6920

Fax

(407) 732-6923

NPI assigned

Jun 6, 2022

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kersenbrock Medical and Wellness, LLC

  • General Practice Physician
  • Lake Mary, FL
  • NPI 1154816510
  NPD

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1528797719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 CURRENCY CIR STE A",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462138",
            "telephone_number": "407-732-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CURRENCY CIR STE A",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462138",
            "telephone_number": "407-732-6920",
            "fax_number": "407-732-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLS",
        "first_name": "DEVIN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kmw.care",
            "affiliation": "N",
            "address_1": "760 Currency Cir Ste A",
            "city": "Lake Mary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327462138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Rose Skiver
• Antoine Slade I, RBT
• Callie D Slade, LCSW
• Yvonne Small
• Anthony Smalls
• Matthew J. Smartt, PT
• Kristen Elise Smethurst, P. A.-C
• Smile Design Studio Inc
• Amanda B Smith, NP
• Bethany Renea Smith, BEHAVIOR TECHNICIAN

• Chiropractor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.