Individual provider Active NPI

Nathan Daniel Smouse, DC

  • Chiropractor
  • Sherman, TX
National Provider Identifier
1578070348
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13647 Issued in TX
Practice address
2121 N FM 1417 Ste R
Sherman, TX 75092-3109
Phone
(903) 868-3808
NPI assigned
Jan 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13647 TX Primary

Addresses

Primary practice location

2121 N FM 1417 Ste R
Sherman, TX 75092-3109

Mailing address

5750 Arbor Hills Way Apt 308
The Colony, TX 75056-5448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190130002161 TX Practitioner - Chiropractic 3971840836
I20210722001115 FL Practitioner - Chiropractic 3971840836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Health Center PLLCGroup PAC ID 7810327673, 5 clinicians
Palm Beach Health Center East PLLCGroup PAC ID 4587027511, 4 clinicians

Practice addresses (Care Compare)

1011 N State Rd
7 Suite D
Royal Palm Beach, FL 33411-5184
Phone (561) 333-8353

7420 S Dixie Hwy
West Palm Beach, FL 33405-4812
Phone (561) 588-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13647TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Health Center East PLLC Chiropractor CurrentSince Sep 11, 2024 Accepting new patients
Palm Beach Health Center PLLC CurrentSince Jan 1, 2021 Accepting new patients
Mallen Chiropractic Inc. Chiropractor PastSince Sep 11, 2024 Accepting new patients

Locations

1011 N State Road 7
Ste D
Royal Palm Beach, FL 33411
Phone (561) 333-8353

7420 S Dixie Hwy
West Palm Beach, FL 33405
Phone (561) 588-7780

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.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1578070348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 ARBOR HILLS WAY APT 308",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750565448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N FM 1417 STE R",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923109",
            "telephone_number": "903-868-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOUSE",
        "first_name": "NATHAN",
        "middle_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.