Organization Active NPI

Jeffery T. Smith Chiropractic, P.S.C.

Doing business as Smith Chiropractic, P.S.C.

  • Chiropractor
  • Monticello, KY
National Provider Identifier
1598876815
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4557 Issued in KY
Legal business name
JEFFERY T. SMITH CHIROPRACTIC, P.S.C.
Doing business as
Smith Chiropractic, P.S.C.
Practice address
1104 N Main St
Monticello, KY 42633-1903
Phone
(606) 340-0340
Fax
(606) 340-0211
NPI assigned
Aug 31, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Jeffery Todd Smith, D.C.NPI 1114038536
Title
Chiropractor President
Phone
(606) 340-0340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4557 KY Primary

Addresses

Primary practice location

1104 N Main St
Monticello, KY 42633-1903

Mailing address

1104 N Main St
Monticello, KY 42633-1903
Phone (606) 340-0340

Other names 1

  • Smith Chiropractic, P.S.C. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000329 KY Part B Supplier - Clinic/Group Practice 7416974787 Receives reassigned benefits from 1 practitioner
Practice locations: Monticello, KY

National Provider Directory

National Provider Directory
Tax ID family
Jeffery T Smith Chiropractic PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2080 N Main St
Monticello, KY 42633
Phone (606) 340-0340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1598876815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331903",
            "telephone_number": "606-340-0340",
            "fax_number": "606-340-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331903",
            "telephone_number": "606-340-0340",
            "fax_number": "606-340-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY T. SMITH CHIROPRACTIC, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CHIROPRACTOR  PRESIDENT",
        "authorized_official_telephone_number": "606-340-0340",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Chiropractic, P.S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.