Individual provider Active NPI

Tristan Adam Smith, D.C.

  • Chiropractor
  • Sinking Spring, PA
National Provider Identifier
1548644131
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011049 Issued in PA
Practice address
3443 Penn Ave
Sinking Spring, PA 19608-1181
Phone
(610) 678-8600
Fax
(610) 678-4747
NPI assigned
Jul 14, 2015
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011049 PA Primary

Addresses

Primary practice location

3443 Penn Ave
Sinking Spring, PA 19608-1181

Mailing address

3443 Penn Ave
Sinking Spring, PA 19608-1181
Phone (610) 678-8600

Other practice location 1

3933 Perkiomen Ave
Suite 101
Reading, PA 19606-2756
Phone (610) 779-4588

Other practice location 2

3646 Pottsville Pike
Reading, PA 19605-1700
Phone (610) 678-8600

Other practice location 3

270 Friedensburg Rd
Reading, PA 19606-1926
Phone (610) 678-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209001000 PA Practitioner - Chiropractic 1456652890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smith Chiropractic and Wellness Center LLCGroup PAC ID 4688948268, 2 clinicians

Practice addresses (Care Compare)

3443 Penn Ave
Sinking Spring, PA 19608-1181
Phone (610) 678-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SCW Medical II LLC Chiropractor Current Accepting new patients
SCW Medical PLLC CurrentSince Mar 1, 2021 Accepting new patients
Smith Chiropractic & Wellness Center LLC Chiropractor CurrentSince Jul 20, 2017 Accepting new patients

Locations

3646 Pottsville Pike
Reading, PA 19605
Phone (610) 678-8600

3443 Penn Ave
Sinking Spring, PA 19608
Phone (484) 709-6721

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, 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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1548644131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 PENN AVE",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081181",
            "telephone_number": "610-678-8600",
            "fax_number": "610-678-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 PENN AVE",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081181",
            "telephone_number": "610-678-8600",
            "fax_number": "610-678-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3933 Perkiomen Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196062756",
            "country_code": "US",
            "telephone_number": "610-779-4588",
            "fax_number": "610-779-8040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3646 Pottsville Pike",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196051700",
            "country_code": "US",
            "telephone_number": "610-678-8600",
            "fax_number": "610-678-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Friedensburg Rd",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196061926",
            "country_code": "US",
            "telephone_number": "610-678-8600",
            "fax_number": "610-678-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRISTAN",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sinking Spring, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.