Organization Active NPI

Sam L. Smith DC,PC

  • Chiropractor
  • Jacksonville, TX
National Provider Identifier
1619094661
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2288 Issued in TX
Legal business name
SAM L. SMITH DC,PC
Practice address
1401 E Rusk St
Jacksonville, TX 75766-3400
Phone
(903) 586-1536
Fax
(903) 586-2732
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Sam L Smith, D.C.
Title
Owner
Phone
(903) 586-1536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC2288 TX Primary

Addresses

Primary practice location

1401 E Rusk St
Jacksonville, TX 75766-3400

Mailing address

1401 E Rusk St
Jacksonville, TX 75766-3400
Phone (903) 586-1536

National Provider Directory

National Provider Directory

Locations

1401 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6802

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1619094661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E RUSK ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663400",
            "telephone_number": "903-586-1536",
            "fax_number": "903-586-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E RUSK ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663400",
            "telephone_number": "903-586-1536",
            "fax_number": "903-586-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM L. SMITH DC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-586-1536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC2288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.