Kevin Ammon Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12266 Issued in TX

Practice address

3708 N Navarro St
Suite C
Victoria, TX 77901-2417

Phone

(361) 570-7354

Fax

(361) 570-7356

NPI assigned

Mar 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Citizens Medical Center Hospital, Victoria, TX, CCN 450023
• De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ka Smith Chiropractic PLLC

  • Chiropractor
  • Victoria, TX
  • NPI 1750730438
  Medicare reassignment NPD Authorized official
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  Care Compare affiliation
• Victoria of Texas LP

  dba Detar Healthcare System

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1851343909
  Care Compare affiliation

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1578989182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 N NAVARRO ST",
            "address_2": "SUITE C",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012417",
            "telephone_number": "361-570-7354",
            "fax_number": "361-570-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 N NAVARRO ST",
            "address_2": "SUITE C",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012417",
            "telephone_number": "361-570-7354",
            "fax_number": "361-570-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "AMMON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EG119",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SL Eyevision PLLC
• Sleep & Family Medicine LLP
• Janet Marie Slovacek, RN
• Hannah Starkey Smith, M.D.
• Jamie Smith
• Kyra Diane Smith, APRN
• Misty Dawn Smith, CNA
• Ralph Smith, C.R.N.A.
• Ray D. Smith, CPO, LPO
• Joseph Patrick Smullen, LCSW-S

• Chiropractor in Victoria, TX
• Providers in Victoria, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.