Organization Active NPI

Dr Phillip and Vera Smith LLC

  • Chiropractor
  • Gonzales, LA
National Provider Identifier
1588969414
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
369 Issued in LA
Legal business name
DR PHILLIP AND VERA SMITH LLC
Practice address
12320 Highway 44
Suite 2a
Gonzales, LA 70737-2202
Phone
(225) 644-8671
Fax
(225) 644-6427
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mrs. Sally R Ledet
Title
Office Manager
Phone
(225) 644-8671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 369 LA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1621 LA

Addresses

Primary practice location

12320 Highway 44
Suite 2a
Gonzales, LA 70737-2202

Mailing address

12320 Highway 44
Suite 2a
Gonzales, LA 70737-2202
Phone (225) 644-8671

Other identifiers 1

IdentifierTypeStateIssuer
1951781MedicaidLA

National Provider Directory

National Provider Directory

Locations

12320 Highway 44
Ste 2A
Gonzales, LA 70737
Phone (225) 644-8671

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1588969414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44",
            "address_2": "SUITE 2A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-644-8671",
            "fax_number": "225-644-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44",
            "address_2": "SUITE 2A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-644-8671",
            "fax_number": "225-644-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PHILLIP AND VERA SMITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "LEDET",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-644-8671",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "369",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951781",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.