Individual provider Active NPI

Jesse Dalton Smith, D.C.

  • Chiropractor
  • Chico, CA
National Provider Identifier
1629362041
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32000 Issued in CA
Practice address
1166 Esplanade
Ste 2
Chico, CA 95926-3361
Phone
(530) 809-2695
Fax
(530) 645-1835
NPI assigned
Jun 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32000 CA Primary

Addresses

Primary practice location

1166 Esplanade
Ste 2
Chico, CA 95926-3361

Mailing address

1166 Esplanade
Ste 2
Chico, CA 95926-3361
Phone (530) 809-2695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32000CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Chiropractic Rehabilitation and Wellness Chiropractor PastSince Apr 25, 2022 Accepting new patients

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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1629362041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 ESPLANADE",
            "address_2": "STE 2",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263361",
            "telephone_number": "530-809-2695",
            "fax_number": "530-645-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 ESPLANADE",
            "address_2": "STE 2",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263361",
            "telephone_number": "530-809-2695",
            "fax_number": "530-645-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSE",
        "middle_name": "DALTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.