Derek Smith, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11398 Issued in FL

Practice address

20 Executive Dr
Ste a
Carmel, IN 46032-2988

Phone

(317) 993-3361

Fax

(317) 993-3362

NPI assigned

Mar 31, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Regenerative Health Institute P.C.

  • Physical Medicine & Rehabilitation Physician
  • Carmel, IN
  • NPI 1184181331
  NPD Authorized official
• Vitality Ageless Center LLC

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1730657271
  NPD

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1629463278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXECUTIVE DR",
            "address_2": "STE A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322988",
            "telephone_number": "317-993-3361",
            "fax_number": "317-993-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXECUTIVE DR",
            "address_2": "STE A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322988",
            "telephone_number": "317-993-3361",
            "fax_number": "317-993-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "11398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Smith, RBT
• Bruce R Smith, OD
• Christi L Smith, MS, OTR
• Cynthia Smith
• David Allan Smith, D.D.S.
• Donald Ian Smith, M.D.
• Emily Colleen Smith, OTR
• Erica Smith, OTR
• Holly Nichole Smith, M.D.
• James R Smith, M.D.

• Chiropractor in Carmel, IN
• Providers in Carmel, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.