Individual provider Active NPI

James A Smith, DC

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1598767592
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2507 Issued in TX
Practice address
945 S Baxter Ave
Tyler, TX 75701-2210
Phone
(903) 595-2664
Fax
(903) 592-8461
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC2507 TX Primary

Addresses

Primary practice location

945 S Baxter Ave
Tyler, TX 75701-2210

Mailing address

945 S Baxter Ave
Tyler, TX 75701-2210
Phone (903) 595-2664

Other identifiers 1

IdentifierTypeStateIssuer
001052201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000111 TX Practitioner - Chiropractic 1052322914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyler Chiropractic IncGroup PAC ID 7416968375, 2 clinicians

Practice addresses (Care Compare)

945 S Baxter Ave
Tyler, TX 75701-2210
Phone (903) 595-2664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC2507TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Chiropractic, Inc Chiropractor CurrentSince Aug 1, 1977 Accepting new patients

Locations

945 S Baxter Ave
Tyler, TX 75701
Phone (903) 595-2664

Organizations & group practices 1

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1598767592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 S BAXTER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012210",
            "telephone_number": "903-595-2664",
            "fax_number": "903-592-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S BAXTER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012210",
            "telephone_number": "903-595-2664",
            "fax_number": "903-592-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC2507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001052201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.