Gregory Allen Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12059 Issued in CA

Practice address

912 I St
Los Banos, CA 93635-4313

Phone

(209) 826-5865

Fax

(209) 826-1571

NPI assigned

Jan 12, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Karthikeya Devireddy MD IncGroup PAC ID 3072566728, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: gregory.smith.1@3550.direct.athenahealth.com
• Direct secure messaging: gregory.smith.3@3550.direct.athenahealth.com
• Direct secure messaging: gregory.smith.2@3550.direct.athenahealth.com

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.

• Gregory a. Smith, D.C. a Professional Chiropractic Corporation

  • Chiropractor
  • Los Banos, CA
  • NPI 1457661399
  NPD Authorized official
• Karthikeya Devireddy MD Inc

  • Rural Health Clinic/Center
  • Los Banos, CA
  • NPI 1518089507
  Care Compare group

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1588643142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354313",
            "telephone_number": "209-826-5865",
            "fax_number": "209-826-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354313",
            "telephone_number": "209-826-5865",
            "fax_number": "209-826-1571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353479",
            "country_code": "US",
            "telephone_number": "209-826-2222",
            "fax_number": "209-826-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353459",
            "country_code": "US",
            "telephone_number": "209-827-9999",
            "fax_number": "209-827-9998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 Golden Gate Ave",
            "address_purpose": "LOCATION",
            "city": "Dos Palos",
            "state": "CA",
            "postal_code": "936202329",
            "country_code": "US",
            "telephone_number": "209-392-0022",
            "fax_number": "209-392-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 W I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353479",
            "country_code": "US",
            "telephone_number": "209-826-2222",
            "fax_number": "209-826-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "12059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyashia D Silva
• Phillip Silverstein, MD
• Manmeet Singh
• Raveena Singh
• Andrew Smith, D.D.S,.
• Nikki C Smith, RDHAP
• Parker Allen Smith, DDS
• Apinya Smothers, PA-C
• Breahna Soares
• Steven D. Soares, D.D.S.

• Chiropractor in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.