Beau Ryan Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11307 Issued in FL

Practice address

719 NE 1St Ter
Crystal River, FL 34429-4307

Phone

(352) 794-1778

NPI assigned

Jul 10, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1578947487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 NE 1ST TER",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294307",
            "telephone_number": "352-794-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 NE 1ST TER",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294307",
            "telephone_number": "352-794-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Honore Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342322761",
            "country_code": "US",
            "telephone_number": "941-342-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BEAU",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet K Slawinski, CNP
• John James Slocum
• Smiles at Citrus and 5TH, P.a.
• Smiles on Citrus PL
• Amanda Smith, A.R.N.P.
• Elizabeth Hanna Smith, LPC, ATR-BC, PMH
• Jeanna Reid Smith, PA-C
• Tatiana Smith, MOTR/L
• Kevin G Snyder, D.D.S.
• Allen Ira Sobel, O.D.

• Chiropractor in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.