Individual provider Active NPI

Alicia Smith, DC

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1558738526
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5667 Issued in OR
Practice address
3300 SW Hocken Ave
Suite 108
Beaverton, OR 97005-2444
Phone
(503) 744-5772
Fax
(503) 325-9135
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5667 OR Primary

Addresses

Primary practice location

3300 SW Hocken Ave
Suite 108
Beaverton, OR 97005-2444

Mailing address

3300 SW Hocken Ave
Suite 108
Beaverton, OR 97005
Phone (503) 744-5772

Other practice location 1

9266 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3314
Phone (503) 297-3771

Other practice location 2

2935 Marine Dr Ste B
Astoria, OR 97103-2831
Phone (503) 325-3311

Other identifiers 1

IdentifierTypeStateIssuer
500769229MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025001136 OR Practitioner - ChiropracticPractitioner - Physical Medicine and RehabilitationPractitioner - Pain ManagementPractitioner - Preventive Medicine 8628300514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Pain Management, Physical Medicine and Rehabilitation, Preventive Medicine
Education
Western States College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S2 Collaborations LLCGroup PAC ID 6709118698, 2 clinicians

Practice addresses (Care Compare)

1490 Commercial St
Suite 202
Astoria, OR 97103-3800
Phone (503) 325-3311

4100 SW 109TH Ave
Beaverton, OR 97005-3029

Merit-based Incentive Payment System (MIPS)

Final score
21.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
S2 Collaborations LLC Chiropractor CurrentSince Jul 23, 2019 Accepting new patients
S2 Collaborations LLC Chiropractor Current Accepting new patients
Radspinner Discover Chiropractic LLC Chiropractor PastSince Oct 14, 2020 Accepting new patients
Discover Chiropractic Chiropractor Past Accepting new patients
Astoria Chiropractic Physicians Center Chiropractor Past Accepting new patients

Locations

1490 Commercial St
Ste 202
Astoria, OR 97103
Phone (503) 325-3311

2935 Marine Dr
Ste B
Astoria, OR 97103
Phone (503) 325-3311

4100 SW 109th Ave
Beaverton, OR 97005
Phone (503) 641-3444

3300 SW Hocken Ave
Ste 108
Beaverton, OR 97005
Phone (503) 526-8782

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1558738526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 SW HOCKEN AVE",
            "address_2": "SUITE 108",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97005",
            "telephone_number": "503-744-5772",
            "fax_number": "503-325-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 SW HOCKEN AVE",
            "address_2": "SUITE 108",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052444",
            "telephone_number": "503-744-5772",
            "fax_number": "503-325-9135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9266 SW Beaverton Hillsdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053314",
            "country_code": "US",
            "telephone_number": "503-297-3771",
            "fax_number": "503-595-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2935 Marine Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "OR",
            "postal_code": "971032831",
            "country_code": "US",
            "telephone_number": "503-325-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500769229",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.