Active NPI
Sam L. Smith DC,PC
- Chiropractor
- Jacksonville, TX
National Provider Identifier
1619094661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2288
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.