Individual provider Active NPI

Jennifer D Smith, DC, MSACN

  • Chiropractor
  • Shelby, NC
National Provider Identifier
1538465414
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4234 Issued in NC
Practice address
210 E Grover St
Shelby, NC 28150-3918
Phone
(704) 480-1700
NPI assigned
Feb 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4234 NC Primary

Addresses

Primary practice location

210 E Grover St
Shelby, NC 28150-3918

Mailing address

210 E Grover St
Shelby, NC 28150-3918
Phone (704) 480-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000008 NC Practitioner - Chiropractic 7214190081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20124 W Catawba Ave
Suite B
Cornelius, NC 28031-4078
Phone (585) 278-7778

210 E Grover St
Shelby, NC 28150-3918
Phone (704) 480-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4234NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Chiropractic PLLC Chiropractor CurrentSince Feb 28, 2022 Accepting new patients
Reno Chiropractic Center, P.a. Chiropractor CurrentSince Feb 28, 2022 Accepting new patients
Back to Health Chiropractic and Wellness Care, PLLC Chiropractor CurrentSince Mar 28, 2012 Accepting new patients

Locations

20124 W Catawba Ave
Ste B
Cornelius, NC 28031
Phone (585) 278-7778

210 E Grover St
Shelby, NC 28150
Phone (704) 480-1700

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1538465414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503918",
            "telephone_number": "704-480-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503918",
            "telephone_number": "704-480-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC, MSACN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.