Individual provider Active NPI

Nolan Alexander Smith, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1629635677
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14106 Issued in TX
Practice address
4830 South Fwy
Fort Worth, TX 76115-3901
Phone
(817) 926-0012
Fax
(817) 927-0533
NPI assigned
May 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14106 TX Primary

Addresses

Primary practice location

4830 South Fwy
Fort Worth, TX 76115-3901

Mailing address

4830 South Fwy
Fort Worth, TX 76115-3901
Phone (817) 926-0012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303003018 TX Practitioner - Chiropractic 4587070271 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14106TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Physicians Network Inc CurrentSince Mar 1, 2022 Accepting new patients
Rehab Physician'S Network Chiropractor Past Accepting new patients

Locations

214 W Colorado Blvd
Dallas, TX 75208
Phone (214) 941-4550

1001 12th Ave
Ste 146
Fort Worth, TX 76104
Phone (817) 377-4011

1102 Solon Place Way
Ste 2
Waxahachie, TX 75165
Phone (972) 875-7488

Organizations & group practices 2

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1629635677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761153901",
            "telephone_number": "817-926-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761153901",
            "telephone_number": "817-926-0012",
            "fax_number": "817-927-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NOLAN",
        "middle_name": "ALEXANDER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.